Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701204
Report Date: 10/02/2015
Date Signed 10/02/2015 09:42:29 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CHILDREN'S PARADISE INC-MELROSEFACILITY NUMBER:
376701204
ADMINISTRATOR:PICKLE, LONAFACILITY TYPE:
840
ADDRESS:145 N. MELROSE DR. #100 & #200TELEPHONE:
(760) 724-5600
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY:30CENSUS: 0DATE:
10/02/2015
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Nicole Steele & Brittney SmithTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Nancy Diaz conducted a prelicensing visit to the facility. This school age program will operate in Suite 200. The program is open Monday through Friday from 6:00 AM to 6:00 PM. Licensee has submitted a waiver request to allow use of the room in the morning for preschool children (6:00am-12:30pm) and the school-age program from 12:30pm to 6:00pm. The school age room measures 936 square feet will accommodate 26 children. The area outside the restroom was not included in the measurement. (This measured 5 ft. by 5 ft. is equivalent to 25 sq. ft). The room is fully furnished with tables, chairs, play equipment, supplies and materials. There are two toilets and two sinks available for children with doors to provide privacy for school-age children.

There is an existing playground located behind the building that is currently licensed and are utilized by the preschool children. Licensee has submitted a waiver to allow scheduling of all outdoor activities. Drinking fountains are available. Shade structure and several trees will provide shade outdoors.

A fire clearance was received from the Vista Fire Department on 10/1/2015. The 1st Aid kit is kept in the classroom. Medication will be centrally stored in the office/lobby area. Isolation area is located in the director's office.

Ms. Steele stated that the facility is currently not maintaining Incidental Medical Services (IMS). Facility is currently putting together the Plan of Operation for IMS and will be submitting to the department once completed.

License to be granted upon final approval of the two waiver requests submitted.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2015
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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