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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700084
Report Date: 09/25/2020
Date Signed: 09/25/2020 02:35:29 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: 0DATE:
09/25/2020
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Evelyn HarperTIME COMPLETED:
02:45 PM
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On 09/25/2020 at 2pm, Licensing Program Analyst (LPA) Samantha Salunga conducted a case management virtual inspection (via Zoom) with Evelyn Harper, Site Director. The purpose of this inspection is to provide technical assistance and inspect Rooms 1 & 2 that the facility has requested to only operate in. Facility is not requesting to change their capacity, only to change the rooms they are operating in. Facility was previously operating in Rooms 3, 4 and 34. LPA virtually toured Rooms 1 & 2 to ensure the facility is safe for the care and supervision of children. Fire clearance was granted on 09/22/20. There were no children present during inspection.

Rooms 1 & 2 were inspected during this televisit. There are two sinks (one with a drinking fountain) in each classroom. Ms. Harper stated that children bring their own water bottles and there are fountains at the facility to refill them, along with extra bottled water if a child forgets to bring theirs. Age-appropriate supplies and equipment were observed available in both rooms. There are two toilets for the children in each classroom and afford privacy. Children will be escorted to/from the bathrooms at all times. There is a separate staff restroom located next to the office. The classrooms were not measured as they are exempt from square footage requirements as long as they are certified by the principal for use as classrooms during the day. Food preparation for snacks will be done in the classrooms. Isolation for ill children is in the nurses office. There is an operational carbon monoxide detector located in Room 1. Cleaning supplies and other toxins are inaccessible to children through latches, locks and/or placed on high surfaces. The playground to be used is the elementary school playground. There is shade available and a drinking fountain as well. Ms. Harper is reminded to keep anything that reads, “Keep Out of Reach of Children” inaccessible to children.

See 809-C for continuation...
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2020
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: 09/25/2020
NARRATIVE
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Facility has an approved Incidental Medical Services (IMS) plan in place. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. 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. LPA and Ms. Harper discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov and click on “Receive Important Updates,” then enter your email address and choose which program(s) you would like to subscribe to and click “subscribe.”

A license for 90 children (ages 5 thru 12) in rooms 1 and 2 is granted and effective today’s date, 09/25/2020. Exit interview was conducted with Ms. Harper. To further ensure health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility.

A copy of this report was reviewed and will be e-mailed to Ms. Harper. Ms. Harper was advised that acknowledgement of the receipt of this report is to be received within twenty-four hours. This report shall be kept available at the facility for public review for 3 years.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2020
LIC809 (FAS) - (06/04)
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