372000455-4-30-2019-20-CC-JREG-BBQQKE-20190430121412

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 372000455
Report Date: 04/30/2019
Date Signed: 04/30/2019 12:14:24 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:	PILGRIM DAY CARE CENTER		FACILITY NUMBER:	372000455
ADMINISTRATOR:	JENNIFER GOINS		FACILITY TYPE:	850
ADDRESS:	2020 CHESTNUT AVENUE		TELEPHONE:	(760) 729-4464
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92008
CAPACITY:	110	CENSUS: 96	DATE:	04/30/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Director Jennifer Goins		TIME COMPLETED:	12:20 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of a random annual inspection. During this visit, there were 96 children with 14 staff as follows: Blue Room: 11 children with two teachers; Green Room: 14 children with two teachers; Yellow Room: 11 children with two teachers; Orange Room: 15 children with two teachers; Red Room (Head Start): 8 children with two teachers; Teal Room: 18 children with two teachers and the Purple Room: 18 children with two teachers. Facility is within ratio and capacity. Program operates Monday thru Friday from 7 a.m. to 6 p.m. LPA toured the facility. The furniture, books, games, toys and play equipment, both inside and out, are safe, age-appropriate and in good repair. All rooms have adequate heating, lighting and ventilation, are clean and orderly, and are free of hazards. Medications are kept in each classroom, inaccessible to children. Bathrooms and handwashing areas in each classroom are in a safe, sanitary and operating condition. The facility provides all meals for the Head Start program and a.m. and p.m. snacks for the remainder of the children who bring their own lunches. Food service area consists of a kitchen which is clean and sanitary with food protected from contamination and spoilage, stored in covered containers at 45 degrees (F) or less. No expired food items were noted. Snack menus were posted and are being stored for a minimum of 30 days. All hazardous items are stored where they are inaccessible to children. The outdoor play areas are fenced and have sufficient cushioning under and around play structures, swings and slides and there is adequate shade. The Head Start Program uses the grassy playground, the 2's use the smaller playground and occasionally the grassy playground, and the rest of the children use both the grassy and the large playground. There is no evidence of rodent or insect activity. The carbon monoxide detector is operational. There is at least one staff present with a current CPR and First Aid certification, to include an opening and closing staff. Sign in/out sheets were reviewed. LPA observed appropriate supervision in and out of the classroom. The last emergency drill was conducted this month.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2019

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: PILGRIM DAY CARE CENTER	FACILITY NUMBER: 372000455
	VISIT DATE: 04/30/2019

NARRATIVE

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A sample of children's records were reviewed for admission’s agreements and staff records for qualifications. SB 792 (staff immunizations) requirements were met. AB 1207 (Mandated Reporter Training) was discussed and can be accessed at the following link: www.mandatedreporterca.com. Effects of Lead Exposure Handout was provided for dissemination to the parents/guardians of current and future enrollees.

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.
Services were in place today. Medication is current, in original packaging with signed consent forms.

A Technical Violation was issued. This is not a deficiency. No deficiencies are cited.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.

Community Care Licensing WEB SITE: http://www.ccld.ca.gov/

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2019

LIC809 (FAS) - (06/04)

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