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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700082
Report Date: 12/02/2019
Date Signed: 12/02/2019 05:30:54 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-CALAVERA HILLSFACILITY NUMBER:
376700082
ADMINISTRATOR:SAMARA WHITEFACILITY TYPE:
840
ADDRESS:4101-4104 TAMARACK AVE.TELEPHONE:
(760) 331-6387
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:110CENSUS: 24DATE:
12/02/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
04:50 PM
MET WITH:Site Director Samara WhiteTIME COMPLETED:
05:40 PM
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Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of a random annual inspection. During this visit, there were 24 children with three teachers, an Aide and the Director. Facility is within ratio and capacity. Program operates Monday thru Friday from 7 a.m. to 9:45 a.m. and 11:30 a.m. to 6:25 p.m. in Rooms 10 and 15, the Middle School Room 103 and the multipurpose room.

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. All storage containers and trashes have tight fitting covers are in good repair. Medications are kept in a cabinet Room 15, inaccessible to children. Any medications for the middle school children would be kept in their room. Snacks are provided and stored per regulation. Menu is posted and being stored for 30 days. All hazardous items are stored where they are inaccessible to children. The outdoor play areas ar fenced, have sufficient cushioning and adequate shade. The middle school uses the field near their room and the preschool uses the blacktop, field and play structure with the exception of the monkey bars. The carbon monoxide detectors are operational. There is no evidence of rodent or insect activity. There is at least one staff present with a current CPR and First Aid certification. Electronic sign in/out is used with paper backup. LPA reviewed personnel records and a sample of children's records. SB 792 (staff immunizations) and AB 1207 (Mandated Reporter Training) 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. Isolation area is a quiet area near the Director's desk. 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 Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2019
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: CARLSBAD EDUCATIONAL FOUNDATION-CALAVERA HILLS
FACILITY NUMBER: 376700082
VISIT DATE: 12/02/2019
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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.

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.

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: 12/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2