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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600680
Report Date: 09/27/2021
Date Signed: 09/27/2021 11:32:26 AM

Document Has Been Signed on 09/27/2021 11:32 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:ST. MARY'S PRESCHOOLFACILITY NUMBER:
376600680
ADMINISTRATOR:JOANNE STRANTZFACILITY TYPE:
850
ADDRESS:130 E. 13TH AVENUETELEPHONE:
(760) 745-1611
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY: 77TOTAL ENROLLED CHILDREN: 0CENSUS: 16DATE:
09/27/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Amanda Harriff - DirectorTIME COMPLETED:
11:40 AM
NARRATIVE
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On 09/27/21 Licensing Program Analysts (LPAs) Sumayya Habeebulla and James Wilkerson arrived at the facility. On arrival it was observed that the facility had 16 children with one staff. The Director Amanda Harriff stated one of her staff quit in the morning and the other staff called in sick. Ms Harriff was alone with all the 16 students and was out of ratio. The Director's school aged child was part of the census when LPAs arrived.

An exit interview was conducted, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2021
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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Document Has Been Signed on 09/27/2021 11:32 AM - It Cannot Be Edited


Created By: Sumayya Habeebulla On 09/27/2021 at 10:24 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: ST. MARY'S PRESCHOOL
FACILITY NUMBER: 376600680

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
10/04/2021
Section Cited
CCR
101216.3

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Staffing Ratio - (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance.
This requirment was not met as evidenced by ...
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Director Ms.Amanda Harriff agrees to review Title 22 staffing ratio and ensure that the ratio will be maintained at all times. Ms. Harriff will submit a letter stating that she has reviewed the regulation.
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LPAs observation there were 15 preschool children under the care of one adult.
This is an immediate risk to Health and Safety of 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:Carlos Martinez
LICENSING EVALUATOR NAME:Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:
DATE: 09/27/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/27/2021


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Document Has Been Signed on 09/27/2021 11:32 AM - It Cannot Be Edited


Created By: Sumayya Habeebulla On 09/27/2021 at 10:48 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: ST. MARY'S PRESCHOOL
FACILITY NUMBER: 376600680

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
10/04/2021
Section Cited
CCR
101161(a)

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Limitations on Capacity - (a) A licensee shall not operate a childcare center beyond the conditions and limitations specified on the license, including the capacity limitation.
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Director Ms.Amanda Harriff agrees to review Title 22 staffing Limitation of Capacity and ensure that she maintains the specified limitations of her License.
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This requirment was not met as evidenced by LPAs observation The Director's 12-year-old daughter was among the preschool children during operational hours.
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Ms. Harriff will submit a letter stating that she has reviewed the regulation.

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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:Carlos Martinez
LICENSING EVALUATOR NAME:Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:
DATE: 09/27/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/27/2021


LIC809 (FAS) - (06/04)
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