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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005946
Report Date: 02/11/2021
Date Signed: 02/11/2021 11:11:42 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:ST. COLUMBA PRESCHOOLFACILITY NUMBER:
372005946
ADMINISTRATOR:LORI JIANNUZZIFACILITY TYPE:
850
ADDRESS:3365 GLENCOLUM DRIVETELEPHONE:
(858) 279-0161
CITY:SAN DIEGOSTATE: CAZIP CODE:
92123
CAPACITY:60CENSUS: 46DATE:
02/11/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Lori JiannuzziTIME COMPLETED:
11:20 AM
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On 02/11/2021, Licensing Program Analysts (LPA) Samantha Salunga and Leandra Dolliole, contacted facility to follow-up on a self-reported incident that occurred on 01/25/2021 where the Doves classroom operated out of ratio by having 14 children with 1 staff member from approximately 8:20am-8:35am. Due to COVID-19, an unannounced tele-inspection was conducted using FaceTime to tour the facility with Director, Lori Jiannuzzi. During this inspection, there were a total of 46 children with a total of 5 staff members. Appropriate ratios and supervision were observed during tele-inspection. LPA's interview Director regarding the incident. Director stated that the facility immediately remedied the Doves classroom operating out of ratio by placing a substitute who arrived at 8:35am, in the room. Director stated that ever since the incident occurred, the facility has hired one permanent aide, Marilyn Phan, and in the process of hiring a floater (teacher). In the meantime, Director stated she has asked a plus sub to assign a permanent staff in the meantime from 7:30am-1pm. In case of emergencies, Director stated she has stepped in for ratio if/when needed.

No deficiencies were cited today. A copy of this report, LIC9102 and appeal rights (LIC 9058 01/16) were reviewed during inspection and will be e-mailed to Director. Director was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours. Facility was advised to post the Notice of Site Visit and that failure to keep it posted will result in a $100 civil penalty.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2021
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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