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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600164
Report Date: 04/07/2021
Date Signed: 04/07/2021 04:37:40 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:MISSION NAZARENE PRESCHOOL - INFANTFACILITY NUMBER:
376600164
ADMINISTRATOR:EVELYN KENSELFACILITY TYPE:
830
ADDRESS:4750 MISSION GORGE PLACETELEPHONE:
(619) 287-4900
CITY:SAN DIEGOSTATE: CAZIP CODE:
92120
CAPACITY:36CENSUS: 19DATE:
04/07/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Evelyn KenselTIME COMPLETED:
04:45 PM
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Covid-19 State of Emergency
On April 7, 2021 at 2:30 p.m. Licensing Program Analyst, Leilani Curtis, conducted an unannounced inspection via Zoom to follow up on a self reported incident that occurred between 3/31/21 and 4/1/21 wherein an unauthorized person entered the facility after normal operating hours. LPA met with Director Evelyn Kensel and proceeded to tour the facility. There were 19 children with 8 staff members present. Appropriate ratio/capacity were observed. Staff members have the required background clearances and are associated to the facility.

LPA interviewed the director, staff #1, staff #2 & staff #3. Sometime between the hours of 9:00 p.m. on March 31, 2021 and 7:00 a.m. on April 1, 2021 an unauthorized person entered the Snails classroom. When the opening staff arrived on April 1, 2021, they found the lock on the Snails classroom door damaged. The indoor equipment was in disarray and sand was on the carpeted area. Some of the children’s blankets, sheets & diaper bags were missing from cubbies. The children were taken outside to the playground while the classroom was deep cleaned and sanitized. All snacks that were in the classroom were thrown away. The parents of children in the class were notified of the incident. Parents were advised if their child's belongings were taken.

The director states that the broken door lock has been repaired and the incident was reported to the San Diego Police Department. The director also states that more security camera’s will be installed, and an alarm company is scheduled to tour the classrooms and submit a proposal for the installation of additional alarms. The facility will also conduct research on whether the alignment of the doors and door frames have changed over time and if repair is necessary. Door lock cover plates have been ordered for all of the classroom doors. The facility responded appropriately and reported timely.

No deficiencies are cited.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2021
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 2
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: MISSION NAZARENE PRESCHOOL - INFANT
FACILITY NUMBER: 376600164
VISIT DATE: 04/07/2021
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An exit interview was conducted with the director and appeal rights (LIC 9058 1/16) were discussed. A copy of this report as well as a copy of the appeal rights were emailed to the director at the conclusion of the inspection. The director will confirm receipt of this report via e-mail and the reply of confirmation will serve as the signature acknowledging these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2021
LIC809 (FAS) - (06/04)
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