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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006509
Report Date: 07/29/2021
Date Signed: 07/29/2021 04:07:18 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:BETHLEHEM COMMUNITY EARLY CHILDHOOD CENTERFACILITY NUMBER:
372006509
ADMINISTRATOR:CARR/WINTERBOURNEFACILITY TYPE:
850
ADDRESS:925 BALOUR DRIVETELEPHONE:
(760) 753-4780
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:110CENSUS: 34DATE:
07/29/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Director Debi CarrTIME COMPLETED:
04:10 PM
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On 7/29/21 at 3:00 p.m., Licensing Program Analyst, Joelle Redding, met with Director Debi Carr for the purpose of an unannounced annual inspection. There were 34 children present as follows: Pooh Bear Room (2s): 5 children with two teachers; Teddy Bear Room: 8 children with a teacher and an Aide; Polar
Bear Room: 10 children with two teachers and Panda Bear Room: 11 children with two teachers. Facility is within ratio and capacity. Program operates Monday thru Friday from 7:30 a.m .to 5:30 p.m. with the hope of returning to 7:00 a.m. in the Fall.

LPA toured the facility. All staff were properly masked. Children were napping, snacking or playing outside but had had masks in their cubbies and the school has disposable if the children forget. The furniture, books, games and toys are safe, age-appropriate and in good repair. Rooms were a comfortable temperature during this visit. No hazards were noted. All storage containers and trashes have tight fitting lids and are in good repair. Children bring their own lunches. The facility provides a.m. and p.m. snack, foods stored per regulation in the kitchen. Snack menus are posted. Hand washing and toileting areas are in a safe, sanitary and in operating condition. Medications are kept in the Director's office or the classroom, inaccessible to children. Poisons disinfectants, cleaning solutions and other items that are dangerous to children have been made inaccessible. There is no evidence of rodent or insect activity. Outdoor play area is fully fenced with sufficient cushioning and adequate shade. Playground equipment and outdoor surfaces are in a safe condition No hazards were noted. Portable water is used outdoors. There are no bodies of water, firearms or ammunition on the property. The carbon monoxide detector is operational, in the kitchen and one in the part-day program which is closed for the summer. LPA reviewed, sign in/out sheets, a sample of personnel records for a health screening and on-the-job training. A sample of children's records for emergency information and a medical assessment. Children are evaluated upon entry and monitored throughout the day for signs of illness. The isolation area for ill children awaiting pick up is the Director's office. There are three isolation restrooms, one in the part-day preschool and
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021
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: BETHLEHEM COMMUNITY EARLY CHILDHOOD CENTER
FACILITY NUMBER: 372006509
VISIT DATE: 07/29/2021
NARRATIVE
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two in the full-day preschool. There are several staff present with current CPR and First Aid certification. SB 792 (staff immunizations) requirements have been met. Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com

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 are in place and requirements were met.

Licensee is signed up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov.

See LIC 809D for Type B deficiency. Appeal Rights were discussed and provided. Signature at the bottom of this report confirms receipt.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021
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: BETHLEHEM COMMUNITY EARLY CHILDHOOD CENTER
FACILITY NUMBER: 372006509
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/29/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/10/2021
Section Cited

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Health and Safety Code. On or before March 30, 2018, a person who...is a licensed child care provider...or employee of a licensed child day care facility shall complete the mandated reporter training ...and shall complete renewal mandated reporter training every two years. This requirement has not been met as evidenced by:
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Based on LPA's discussion with Director and file review, all but a few of the staff have expired Mandated Reporter training. This is a potential hazard to children in care if not corrected.
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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: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:
DATE: 07/29/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/29/2021
LIC809 (FAS) - (06/04)
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