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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700175
Report Date: 07/10/2019
Date Signed: 07/10/2019 01:45:36 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:CHILDREN'S PRESCHOOL & LEARNING CENTERFACILITY NUMBER:
376700175
ADMINISTRATOR:ANOUSH TENCATIFACILITY TYPE:
830
ADDRESS:13168 POWAY ROADTELEPHONE:
(858) 748-5519
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:25CENSUS: 19DATE:
07/10/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Anoush Tencati TIME COMPLETED:
12:34 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Rajani Goudreau and Elise Read made an unannounced case management visit. Upon arrival LPAs met with Anoush Tencati, Director and processed to tour the facility. During the inspection there was 19 infants in care with four staff members.

LPAs conducted a tour of the infant room and observed nine infants in care with two staff members. Also, LPA observed 10 infants playing in the infant playground with two staff members. Therefore, the infant class room was out of ratio. In addition, LPAs observed one infant in the infant classroom napping in a crib behind a chest height wall with no supervision. LPAs observed two staff members in the infant classroom sitting down on the floor on the other side of the wall from where the infant was napping. Staff members were close enough to hear the napping infant wake, per LPA observation. LPAs conducted second inspection of the infant room to ensure staff were providing direct supervision to napping child. Upon, arrival LPAs observed napping infant awake and supervised by staff. Assistant Director indicated there is typically three staff in the infant room but one staff had not started shift at time of inspection of the infant room. LPAs observed a third staff arrive to the infant room after inspection. Once third staff arrived in the infant room capacity/ratio limitations were within licensed requirements. LPAs discussed with Director and Assistant Director ratio/capacity limitations for license and direct supervision requirements. Director and Assistant Director acknowledge understanding of requirements.

LPAs discussed and provided Director with the following:
  • Safe sleep concepts handout
  • toddler option for preschool license
  • LIC200A-Application for a Child Care Center License
  • LIC999-Floor Facility Sketch Plan for toddler room
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019
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 3
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: CHILDREN'S PRESCHOOL & LEARNING CENTER
FACILITY NUMBER: 376700175
VISIT DATE: 07/10/2019
NARRATIVE
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In addition, LPA informed Director if toddler option is to be requested the following forms would need to be provided to the Department: LIC200A-requesting toddler option, Facility Sketch reflecting toddler room and plan of operation reflecting toddler option.

Facility was cited two type B deficiencies during today’s visit. An exit interview was conducted with Licensee. Licensing report provided to Director along with notice of site visit. LPA informed Director notice of site visit shall be posted for 30 days from today’s date 07/10/19. LPA observed Director post notice of site visit. LPA informed Director in order access updated Regulations & Forms to visit WEBSITE: http://ccld.ca.gov.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3
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: CHILDREN'S PRESCHOOL & LEARNING CENTER
FACILITY NUMBER: 376700175
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/09/2019
Section Cited

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101416.5-Staff-Infant Ratio. (b)There shall be a ratio of one teacher for every four infants...This requirement was not met as evidenced by: Based on LPA observation, during infant classroom inspection LPAs observed two staff members caring for nine infants, which poses a potential health and safety to children in care.
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maintained in the infant room will be submitted to the Licensing Agency by 08/09/19.
Type B
08/09/2019
Section Cited

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101429-Responsibility... Supervision for Infants. (a)...the following shall apply:(1)Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times...This requirement was not met as evidenced by:
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Based on observation, LPAs observed one infant napping in a crib behind a chest height wall with no supervision. Two staff members were sitting down on the floor on the other side of the wall from where the infant was napping, which poses a potential health, safety to children in care.
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The training agenda along with the staff's sign in sheet will be submitted to the Department by 08/09/19.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:
DATE: 07/10/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/10/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3