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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806086
Report Date: 12/13/2022
Date Signed: 12/13/2022 04:35:58 PM


Document Has Been Signed on 12/13/2022 04:35 PM - It Cannot Be Edited

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:MANCHESTER FAMILY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
370806086
ADMINISTRATOR:SARAH KIMBALLFACILITY TYPE:
850
ADDRESS:1752 VIA LAS CUMBRESTELEPHONE:
(619) 260-4620
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:60CENSUS: 39DATE:
12/13/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Sarah KimballTIME COMPLETED:
04:45 PM
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On 12/13/2022 at 1:45PM, Licensing Program Analyst (LPA) Selina Siao conduct an annual inspection. Upon arrival, LPA met with Director Sarah Kimball and proceeded to tour the facility. There were 39 children during nap time supervised by seven staff members. The following ratios were observed: Moon Riders class had 10 children napping/resting on napping mats supervised by teacher Jennifer Baltazar and staff Mireya Avila. Mariposas class had 12 children napping/resting on napping mats supervised by teacher Carmen De Assis. Sunrays Class has 6 children napping/resting on mats supervised by teacher Dora Escobedo-Olivas. Sun Beans Class has 11 children napping/resting on napping mats supervised by teacher Grace Pousson and staff Michelle Mullins. Facility is within staffing ratio. All required notices, forms and license were posted. Most furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation and drinking water is available for children both inside and outside. Director stated that the staff gets the pitcher of the drinking water from the filtered water fountain in the nurse office next to the Director's office. Storage cubbies are readily available, and room accommodates class size. Napping equipment consists of mats which are kept in classroom and each mat has its own sheet or covering. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Paper towels and toilet paper are available. Bathroom is lighted and has ventilation. Food service area is the USD kitchen and the facility prepares snacks at the facility kitchen which is clean and free of hazards. Menu is posted. Adequate food is available for snacks. Cleaning supplies are kept out of reach of children. Outdoor play area is a fenced playground and the high wooden climbing structure does not have sufficient sand for cushioning. Climbing structures, swings and slides are securely fixed to the ground. Area has multiple trees and buildings used for shade. Equipment appears to be age appropriate for the age group 2 to Kindergarten. LPA reviewed sign in sheets, first aid supplies and reviewed medication policy and storage, all areas are within compliance.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/12/2022
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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Document Has Been Signed on 12/13/2022 04:35 PM - It Cannot Be Edited

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: MANCHESTER FAMILY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 370806086

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/13/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239(n)
Fixtures, Furniture, Equipment and Supplies
(n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Siao's observation, the licensee did not comply with the section cited above as one of the wooden play equipment's paint has peeled off and is not in good repair. The wooden play equipment could have spinters which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/14/2022
Plan of Correction
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Director stated that she will cover the play equipment to make it inaccessible to children tonight. She will submit a work order for facility repair. Director will submit a picture of the correction to LPA Siao by 12/14/2022.
Type B
Section Cited
CCR
101238.2(e)
Outdoor Activity Space
(e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Siao's observation, the licensee did not comply with the section cited above as the areas around and under the high climbing wooden equipment does not have sufficient sand that absorbs falls. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/14/2022
Plan of Correction
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Director stated that she will block off the wall climbing area on the wooden play structure until she can get a replacement material for the area. Director will submit a picture of the correction to LPA Siao by 12/14/2022.
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: 12/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/13/2022
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: MANCHESTER FAMILY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 370806086
VISIT DATE: 12/13/2022
NARRATIVE
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 Isolation area is the nurse's station located next to the Director's office. Personnel and client records were reviewed, and staff members have the required immunizations and completed the online mandated reporter training. LPA reviewed Emergency Disaster Plan and last fire drill was conducted on 06/07/2022. Facility has a wired carbon monoxide detector that is connected to their smoke alarm system. Facility has at least one staff member that has a valid EMSA approved CPR/FA when children are in care.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at https://cdss.ca.gov/inforesources/community-care-licensing/subscribe. LPA discussed California Megan's Law with provider and advised her to go on the website at www.meganslaw.ca.gov.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2022
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: MANCHESTER FAMILY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 370806086
VISIT DATE: 12/13/2022
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Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Refer to the next page LIC 809D for deficiency citations. An exit interview was conducted, and appeal rights were provided.

A notice of site visit was given and must remain posted for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00.

All unusual incident reports shall be submitted to Licensing office via email at SDIncidentReports@dss.ca.gov or via fax at (619)767-2203.

Exit interview conducted and report was reviewed with the Director.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4