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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806232
Report Date: 06/30/2021
Date Signed: 06/30/2021 10:39:20 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:SAINT DAVID'S PRESCHOOLFACILITY NUMBER:
370806232
ADMINISTRATOR:KAREN GARCIAFACILITY TYPE:
850
ADDRESS:5050 MILTON STREETTELEPHONE:
(619) 276-7048
CITY:SAN DIEGOSTATE: CAZIP CODE:
92110
CAPACITY:53CENSUS: 0DATE:
06/30/2021
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Karen Garcia and JocelynTIME COMPLETED:
10:40 AM
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On 6/30/21 at 9:30 AM, Licensing Program Manager (LPM), Renesha Pack and Licensing Program Analyst (LPA) Adrian Mangina conducted an office meeting via MS Teams today with Director Karen Garcia and Church Rector Jocelynn Hughes (left at 10:00 AM). The purpose of this meeting is to discuss the recent citations and to clarify Department expectations.

From 2018-2021 the facility has been cited the following type A deficiencies:

6/4/2021 - 101229(a)(1) Responsibility for Providing Care & Supervision – Due to a child being sent to and left in the bathroom alone while covered in excrement & a staff member observed and photographed sleeping while alone supervising children during naptime.

7/30/2018 – 101223(a)(3) Personal Rights – Staff was described to yell, be demanding, rude, forceful, disrespectful, intimidating, exceptionally inappropriate on numerous occasions. Same staff was observed hitting a child previously in 2017.

01/08/2018 – 101223(a)(2) Personal Rights – At least one child in care during the nap period was restrained with a blanket where the child was wrapped tightly similar to a burrito. The practice restricted the child’s ability to reposition him/herself.

The facility was also cited for multiple type B deficiencies during this time to include 101212(d)(1)(c) Reporting Requirements, 101170(e)(1) Criminal Records Clearances ($1250 civil penalty), 101229(a)(1) Responsibility for Providing Care & Supervision (10/16/2020), 101223(a)(1)(3) Personal Rights, & HSC 1596.8662(b)(1) Mandated Reporter Training.

(continued on Page LIC809 page 2)
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: SAINT DAVID'S PRESCHOOL
FACILITY NUMBER: 370806232
VISIT DATE: 06/30/2021
NARRATIVE
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(LIC809 page 2)

The following was reviewed during this meeting:

· Supervision Requirements
· Reporting requirements
· Staffing needs (Including breaks)
· Staff discipline/training procedures
· Director duties and training needs
· Assistant Director duties and training needs
· Menu Requirements

The following Regulations were reviewed and a copy of each listed were provided to Facility Representative: Section 101229 Responsibility for Providing Care and Supervision, Section 101212 Reporting Requirements, Section 101216 Personnel Requirements, Section 101239 Fixtures, Section 101227 Food Services, and Section 101215.1 Child Care Center Director Qualifications and Duties.

Facility Representative was also provided with the CDSS Child Care Licensing (CCL) Child Care Center Operators Resource link with instructional videos:https://www.cdss.ca.gov/inforesources/child-care-licensing It is recommended for Director and staff to review the videos including, but not limited to, Child Care Reporting Requirements, Background Check Requirements for Caregivers, Supervising Children in Child Care Centers, and Food Service Requirements for Child Care Centers. Director states she understands that she needs to abide by Health and Safety Code and Title 22 Regulations in the operation of the Child Care. Director is aware that ongoing training should be provided to any individual who works in her childcare center as well. The following were also provided: PIN 21-18-CCP Updated Corona virus 2019 Industry Guidance for Child Care Centers, CCP Summer Quarterly Update, Guidance for child Care center Providers and Programs dated 6/29/21, and Child Care Operators - Child Care Licensing - Instructional videos Handout.


(Continued on LIC809 page 3)
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: SAINT DAVID'S PRESCHOOL
FACILITY NUMBER: 370806232
VISIT DATE: 06/30/2021
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(LIC809 page 3)

Licensee was advised to regularly visit the Community Care Licensing WEB SITE: www.ccld.ca.gov for quarterly updates and regulation. Licensee stated she is signed up to receive the PIN's. During meeting licensee was provided the Duty Line#: 619-767-2248.

An exit interview was conducted with Facility Representative. This report (LIC809) provided via e-mail to the Representative. Representative will confirm receipt of this report via e-mail and the reply of confirmation will serve as the signature acknowledging these rights.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2021
LIC809 (FAS) - (06/04)
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