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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600596
Report Date: 11/03/2021
Date Signed: 11/03/2021 03:37:16 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:NOAH'S PARK PRESCHOOL & DAY CAREFACILITY NUMBER:
376600596
ADMINISTRATOR:TAMMY WALKERFACILITY TYPE:
850
ADDRESS:855 EAST BARHAM DRIVETELEPHONE:
(760) 761-4782
CITY:SAN MARCOSSTATE: CAZIP CODE:
92078
CAPACITY:60CENSUS: 16DATE:
11/03/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Tammy WalkerTIME COMPLETED:
03:45 PM
NARRATIVE
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On November 3, 2021 at 12:15 p.m. Licensing Program Analyst (LPA), Leilani Curtis, conducted an unannounced Case Management Inspection in reference to recent positive cases of Covid-19 reported at the facility. Upon arrival LPA met with Director Tammy Walker and proceeded to tour the facility. There were 16 children present with 3 staff members. Appropriate ratios were observed. Staff members have the required background clearances and are associated to the facility.

On October 22, 2021 Community Care Licensing was notified by the Department of Public Health that they had been attempting to reach the facility in regard to positive Covid-19 cases. LPA Curtis called the facility on 10/25/21 and was unable to reach facility staff. On October 29, 2021 LPA contacted Director Walker via telephone. The director advised LPA that the facility was closed from 10/18/21 thru 10/26/21 due to several positive cases of Covid-19. The director reported the following:

Staff #1 was diagnosed on Saturday 10/16/21
Staff #2 was diagnosed on Saturday 10/16/21
Child #1 was diagnosed on Sunday 10/17/21
Child #2 was diagnosed on Tuesday 10/26/21

On October 31, 2021 via email the director reported that an additional person, child #3, was diagnosed with Covid-19 on Sunday, 10/14/21. The director states that all parents were notified of the Covid-19 positive cases and that the facility would close on October 16, 2021. While the facility was closed it was cleaned and sanitized.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021
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 4
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: NOAH'S PARK PRESCHOOL & DAY CARE
FACILITY NUMBER: 376600596
VISIT DATE: 11/03/2021
NARRATIVE
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The director emailed the LIC624 advising Community Care Licensing of the positive Covid-19 cases and the facility closure to LPA on October 31, 2021. The department was not notified of the positive cases or the facility closure timely. The director spoke with a representative from the Department of Public Health on October 29, 2021.

LPA interviewed several staff and children while at the facility. Based on interviews with the director, staff and several children the current state mandates about face coverings/masks are not being enforced or encouraged. The director states that most children do not wear facial coverings/masks while in the facility and none of the children wore masks in the facility today.

LPA emailed Covid-19 resources to the Director on 11/1/2021. Included in the resources provided were: Updated Coronavirus 2019 Industry Guidance PIN 21-18-CCP dated 6/29/2021, California Department of Public Health Guidance for Child Care Providers dated 6/29/2021 and Covid-19 Safety Recommendations for the Upcoming Holiday Season PIN-21-21-CCLD dated 10/29/2021.

See LIC 809D for cited deficiencies.

An exit interview was conducted with the Director and Appeal Rights (LIC 9058 1/16) were discussed. The director’s signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the director post notice of site visit.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - AB 633 Child Care Parent Notification Requirements and a copy of LIC 9224 was given to the director.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: NOAH'S PARK PRESCHOOL & DAY CARE
FACILITY NUMBER: 376600596
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/10/2021
Section Cited

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Reporting Requirements: (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following:(E) Epidemic outbreaks. This requirement was not met as evidenced by:
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Based on LPA's interview with the director, the director failed to submit a written report, LIC624 about the postive Covid-19 outbreak within 7 days of occurrence. This poses a potential health and safety risk to children in care.
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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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: NOAH'S PARK PRESCHOOL & DAY CARE
FACILITY NUMBER: 376600596
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/05/2021
Section Cited

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Personal Rights:(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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Based on interviews with the director, staff and several children, the director is not enforcing the use of face masks/coverings on children. This poses an immediate health and safety risk to the children in care due to the COVID-19 pandemic.
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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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4