376700079-10-4-2019-51-CC-JREG-BGMU5L-20191004151651

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700079
Report Date: 10/04/2019
Date Signed: 10/04/2019 03:17:01 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:	CARLSBAD EDUCATIONAL FOUNDATION - KELLY ELEM.		FACILITY NUMBER:	376700079
ADMINISTRATOR:	APRIL SMITH		FACILITY TYPE:	840
ADDRESS:	4885 KELLY DRIVE		TELEPHONE:	(760) 331-5800
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92008
CAPACITY:	90	CENSUS: 42	DATE:	10/04/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Site Director April Smith		TIME COMPLETED:	03:25 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of a random annual inspection. There were 42 kindergarten children present upon arrival as follows: Site Director and an Aide with 21 children in Room 11 and 21 children with two teachers in Room 12. The elementary school gets out at 2:30 p.m. and an additional teacher arrives. Facility is within ratio and capacity. Program operates Monday thru Friday until 6:25 p.m. primarily in Room 11 and 12 with Room 10 as a backup. LPA toured the rooms. 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. Medications are kept in room 12, inaccessible to children. School bathrooms are used and are in a safe, sanitary and operating condition. Supervision is in place at all times. Snacks are provided. Food service is clean and sanitary. Snack menus were posted and are being stored for a minimum of 30 days. All hazardous items are stored where they are inaccessible to children. The outdoor play area is fenced and has enough cushioning under and around play structures, swings and slides. The play structure is used occasionally by the 3rd through 5th graders only. There is no evidence of rodent or insect activity. The carbon monoxide detector is operational. There is at least one staff present with a current CPR and First Aid certification. Sign in/out sheets were reviewed. LPA observed appropriate supervision in and out of the classroom. A sample of children's records were reviewed for admission’s agreements and staff records for qualifications. SB 792 (staff immunizations) have beebn met. AB 1207 (Mandated Reporter Training) were discussed. 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. Isolation area is the Director's office. Effects of Lead Exposure Handout provided for dissemination to parents/guardians. 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

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

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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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: CARLSBAD EDUCATIONAL FOUNDATION - KELLY ELEM.	FACILITY NUMBER: 376700079
	VISIT DATE: 10/04/2019

NARRATIVE

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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 were in place today. Facility is reminded that Consent for Administration of Medication is to be completed for each child requiring medication.

Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

No deficiencies are cited today. However, although CCC sub, Jillisa West has a clearance, she is not currently associated to Carlsbad Educational Foundation's Administrative or Kelly Elementary site. Licensee's representative has provided copies of the fax cover sheets and documents but a fax confirmation sheet will need to be submitted as proof of transmittal by close of business today or a citation and civil penalty of $100 will be issued.

An updated LIC 610 and LIC 500 was requested today.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019

LIC809 (FAS) - (06/04)

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