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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700084
Report Date: 11/18/2019
Date Signed: 11/18/2019 05:00:46 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 - MAGNOLIA ELEM.FACILITY NUMBER:
376700084
ADMINISTRATOR:EVELYN HARPERFACILITY TYPE:
840
ADDRESS:1905 MAGNOLIA AVENUETELEPHONE:
(760) 331-5666
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:90CENSUS: DATE:
11/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Acting Director Maya ShropshireTIME COMPLETED:
05:10 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 56 children with five staff as follows: 37 children outside with two teachers and an Aide, 8 children inside with a teacher and 11 children on the field with Acting Director. Facility is within ratio and capacity. Program operates Monday thru Friday 7 a.m. to 10 and 11:30 to 6:25 p.m. This program operates in Rooms 3 and 4. Today LPA inspected and approved Room 34 for use to replace Room 2. LPA advises to ensure the room is free of hazards prior to use as the elementary school does used this room during the day. The request for the room change was received on 10/10/19 and the fire clearance was received on 10/31/19. An updated license will be mailed.

LPA toured the rooms. The furniture, books and games are safe, age-appropriate and in good repair. Rooms were a comfortable temperature during this visit. No hazards were noted. Medications, when present, are stored in Room 4, inaccessible to children. Bathrooms and handwashing areas are in a safe, sanitary and operating condition and are inspected by staff prior to use. Supervision is in place at all times. The program provides afternoon snack. Food is stored in Room 4. 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. There is no evidence of rodent or insect activity. The carbon monoxide detector is operational. Several staff present have 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) 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 the Director's office. Effects of Lead Exposure Handout provided for dissemination to parents/guardians.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2019
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 - MAGNOLIA ELEM.
FACILITY NUMBER: 376700084
VISIT DATE: 11/18/2019
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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 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. No services are 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: 11/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2019
LIC809 (FAS) - (06/04)
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