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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700084
Report Date: 03/02/2021
Date Signed: 03/02/2021 05:43:43 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:SAIRA SALAZARFACILITY TYPE:
840
ADDRESS:1905 MAGNOLIA AVENUETELEPHONE:
(760) 430-9224
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:90CENSUS: 28DATE:
03/02/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Evelyn HarperTIME COMPLETED:
03:00 PM
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On 03/02/2021 at 2:30pm, Licensing Program Analyst (LPA), Samantha Salunga, conducted a virtual inspection with Evelyn Harper, Area Manager. The purpose of this inspection is to address facility's request of changing rooms from having children (ages 5-12) in Room 1 and 2 to the Auditorium (aka MPR). Due to COVID-19 state of emergency, inspection was conducted via Zoom. Fire clearance of this room was previously granted on 02/12/2021. Auditorium was inspected during time of visit. This facility is exempt from square footage requirements as long as they are certified by the principal for use as classrooms during the day. LPA observed there to be sufficient age appropriate tables, chairs, and play equipment in the auditorium to meet the needs of the children in care. LPA observed observed a total of 28 children with a total of 4 staff members. All children and staff were observed to be wearing their masks, and tables/chairs were spaced 6ft. apart. There are two bathrooms (1 sink and 1 toilet per bathroom) located in the auditorium and an additional sink in the open play area. Drinking water is readily available through the use of water bottles and refillable stations. LPA observed the auditorium to be safe and free of hazards.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility. Please feel free to contact the daily duty line at (619) 767- 2248.

This report along with LIC9102 was reviewed and will be delivered via email due to COVID-19 restrictions. Notice of Site Visit will also be provided and Ms. Harper stated her understanding of having to post it for 30 consecutive days and that failure to keep it posted will result in a $100 civil penalty. Ms. Harper's reply to the email will be considered confirmation of receipt.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha SalungaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2021
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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