372005150-7-23-2020-51-CC-GCUS-BRSNQT-20200723104027

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 372005150
Report Date: 07/23/2020
Date Signed: 07/23/2020 10:41:15 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:	PALOMAR COMMUNITY COLLEGE DISTRICT ECE LAB SCHOOL		FACILITY NUMBER:	372005150
ADMINISTRATOR:	TAMARA HOLTHAUS		FACILITY TYPE:	850
ADDRESS:	1140 WEST MISSION ROAD		TELEPHONE:	(760) 744-1150
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92069
CAPACITY:	108	CENSUS: 26	DATE:	07/23/2020
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Tamara Holthaus		TIME COMPLETED:	10:50 AM

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	Covid-19 State of Emergency On July 23, 2020 at 10:00 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced Case Management Inspection via Zoom in reference to a child who tested positive for COVID-19. LPA met with Director Tamara Holthaus and proceeded to tour the facility. Present today were 26 children and 9 staff members. Appropriate ratios were observed. All staff members have the required background clearances and are associated to the facility. The child who was diagnosed positive for Covid-19 was last in the facility on July 2, 2020. The child was in a stable group of seven children and one teacher. On Thursday, July 9, 2020 the facility was advised that the child’s parent was diagnosed positive for Covid-19. The child took the Covid-19 test on Monday, July 13, 2020 and was diagnosed positive on Thursday, July 16, 2020. The child’s parent notified the facility the same day, July 16, 2020. Ms. Holthaus states that the Department of Public Health, staff and all parents with children enrolled at the facility were notified of the Covid-19 exposure. The child’s classroom was closed for two weeks beginning July 3, 2020 and the parents of children in that classroom were asked to keep their children home for those two weeks. While the classroom was closed it was disinfected and deep cleaned. The classroom reopened on Friday, July 17, 2020. The child who tested positive for Covid-19 will remain quarantined at home for 14 days beginning on the date of the diagnosis which was July 16, 2020. No deficiencies are cited.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2020

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: PALOMAR COMMUNITY COLLEGE DISTRICT ECE LAB SCHOOL	FACILITY NUMBER: 372005150
	VISIT DATE: 07/23/2020

NARRATIVE

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LPA emailed Covid-19 resources to the Director including links to the California Department of Public Health (CDPH), Local County Public Health Department, Center for Disease Control (CDC) and the California Department of Social Services (CDSS) webpage where Provider Information Notices (PIN’s) can be found.

An exit interview was conducted with the Director. Appeal Rights (1/16) were discussed. The facility was advised to post the Notice of Site Visit for 30 days and that failure to keep the posting will result in a $100 civil penalty. A copy of this report and appeal rights will be e-mailed to the facility and director was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2020

LIC809 (FAS) - (06/04)

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