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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700084
Report Date: 10/10/2023
Date Signed: 10/10/2023 02:38:14 PM


Document Has Been Signed on 10/10/2023 02:38 PM - It Cannot Be Edited

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) 331-5601
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:90CENSUS: 18DATE:
10/10/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Jenniger Rodriguez, Area ManagerTIME COMPLETED:
03:00 PM
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On 10/10/23 at 12:30 PM, Licensing Program Analyst (LPA) Adrian Mangina conducted an unannounced Annual inspection with the Facility Representative, Jennifer Rodriguez. During today's inspection, there were 18 children with one teacher and one aid in classroom 305. Classroom 304 is after school program only and they were not present during the inspection, but 21 children arrived at approximately 2:20 PM and were supervised by Site Director and one aide. Appropriate ratios and capacity were observed.

Furniture and age-appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation. Floors appear to be clean and safe. Safe Drinking water is readily accessible. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Paper towels and toilet paper are available. Bathroom is lighted and has ventilation. Facility serves only snacks in the classroom. Food service area consists of a refrigerator, which is clean and free of hazards. Snack menu is posted. Cleaning supplies are kept separate from food and are inaccessible to children. Facility representative was reminded to ensure that all storage containers for solid waste have tight-fitting covers. Storage areas for poisons are locked. Area Manager stated there are no firearms or other weapons on the premises. All foods/beverages capable of rapid spoiling are stored in covered containers at 45 F or less. The facility appears to be free of insects and rodents. There is an operational carbon monoxide detector at the facility. The last fire drill was conducted 9/28/23. Facility has 2A10BC fire extinguisher that was inspected in October 2023.

Outdoor play area are two fenced blacktop areas, one for the kindergarten-aged children and one for the older children. Kindergarten also has a play structure suitable for children ages 2 to 5. Older children utilize a fenced sports field with public access occasionally with appropriate supervision. The surface of the outdoor

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SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:
DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/10/2023
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: 10/10/2023
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LIC809 page 2
activity space is maintained in safe condition and free of hazards. Facility provides basketballs, hand balls, jump ropes, and other equipment. Both black top areas have arbors used for shade. Equipment is age appropriate. There are no bodies of water at this facility. Area has drinking water readily accessible, with children using refillable water bottles or facility provided disposable cups.

LPA reviewed medication storage which is a locked desk drawer inaccessible to children. There are currently no children with prescription or non-prescription medications. Personnel records contain health screening documentation and at least one staff member has current CPR and First Aid certifications. Teachers meet educational requirements and aides are utilized in classrooms with one teacher to one aide. Children’s records were reviewed today. Five children’s records were reviewe and all were complete All children are signed in/out by a representative or parent digitally using ProCare. Parents must use 7 digit pin # to sign children out.

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

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking
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SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
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: 10/10/2023
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for recalled child devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all child devices with the CPSC to be notified of any recalls on their purchased equipment.

Facility Representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process
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No deficiencies cited.

Exit interview conducted and report was reviewed with the facility representative, Jennifer Rodriguez A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
LIC809 (FAS) - (06/04)
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