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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370805933
Report Date: 09/20/2019
Date Signed: 09/20/2019 04:53:05 PM

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:ALL SAINTS' EPISCOPAL SCHOOL PRE-SCHOOLFACILITY NUMBER:
370805933
ADMINISTRATOR:BATTLES, RENIKAFACILITY TYPE:
850
ADDRESS:3674 SEVENTH AVENUETELEPHONE:
(619) 298-0313
CITY:SAN DIEGOSTATE: CAZIP CODE:
92103
CAPACITY:91CENSUS: 46DATE:
09/20/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:01 PM
MET WITH:Renika BattlesTIME COMPLETED:
05:00 PM
NARRATIVE
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Licensing Program Analyst (LPA), Selina Siao conducted an unannounced case management inspection. Upon arrival, the following ratios were observed: Saint Mary had 17 children supervised by teacher Angela Divinity and teacher Aide Sade Heartfield. St. Anne's had 10 children supervised by teacher Karen Nielson. The toddler playground had 7 toddlers supervised by teacher April Davis and teacher aide Lisa Rubenstein. St. Elizabeth had 12 children supervised by teacher Alexsandra Arballo and substitute teacher aide Jocelyn Del-Rosario. Dirctor Renika Battles returned to the facility during the inspection. Facility appears to be within ratio during the inspection and all staff members have the required background clearances.

On 06/18/2019, a day care child was left unattended at the toddler playground for a few minutes during transition while the rest of the classroom were inside the classroom. Facility failed to report the incident to Licensing.


See LIC809D for citations issue:

Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted during this visit and will remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ALL SAINTS' EPISCOPAL SCHOOL PRE-SCHOOL
FACILITY NUMBER: 370805933
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/20/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/07/2019
Section Cited

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Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
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This requirement was not met as evidence by: On 06/18/2019, a child was left alone at the toddler playground during transition for a few minutes. Facility did not report the incident to Licensing. This poses a potential health and safety risk to clients in care.
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no later than 10/07/2019.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2019
LIC809 (FAS) - (06/04)
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