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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700245
Report Date: 09/02/2021
Date Signed: 09/02/2021 12:09:13 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 COUNTRY DAY SCHOOLFACILITY NUMBER:
376700245
ADMINISTRATOR:MELISSA REED-MURPHYFACILITY TYPE:
850
ADDRESS:5150 HEMINGWAY DRIVETELEPHONE:
(760) 804-0550
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:162CENSUS: 87DATE:
09/02/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Maria (Nely) BarahonaTIME COMPLETED:
10:30 AM
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(1) On 09/02/2021 at 9:45AM, Licensing Program Analyst (LPA) Samantha Clenista visited the facility to conduct an annual random site inspection. Upon arrival, LPA met with Assistant Director, Maria (Nely) Barahona, and proceeded to tour the facility. There were a total of 87 children with a total of 10 staff. Appropriate ratio and capacity was observed. All required notices, forms and licenses were posted. Furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation and portable drinking water is available for children both indoor and outdoor. Storage cubbies are readily available, and room accommodates class size. Napping equipment consists of mats. Food service area consists of a kitchen which is clean and free of hazards. Monthly menu is posted in the lobby. Cleaning supplies are kept out of reach of children. Adequate food is available for meals and snacks. All toilets and hand washing facilities are in good repair and sanitary. Outdoor play area is a fenced playground and there are sufficient shade and canopy for the children. Equipment is age appropriate and separated by age groups, infant/toddler and preschool. Facility uses a electronic sign in and out system. LPA reviewed first aid supplies and reviewed medication policy and storage, all areas are within compliance. Isolation area is the director's office. Personnel and client records were reviewed. Reporting requirements was also reviewed. All personnel have required background clearances and are associated to the facility. LPA reviewed Emergency Disaster Plan and last fire drill was conducted on 09/01/2021. Facility has an operating carbon monoxide detector located in the main office/lobby area. Facility has at least one staff member that has a valid EMSA approved pediatric CPR/FA when children are in care.

See 809-C for continuation...

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021
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 2
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 COUNTRY DAY SCHOOL
FACILITY NUMBER: 376700245
VISIT DATE: 09/02/2021
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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

The following items were discussed with provider: Director was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. Director was provided with information about Heat Related Illness, Sudden Infant Death Syndrome (SIDS), Never Shake a Baby, safe sleep for infants, best practice on supervision, latest car seat poster and effects of lead exposure and reporting responsibilities were discussed. The ABC’S of Safe Sleep: Sleep is Safest: Alone, on their Back in an empty Crib on a firm mattress.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov . LPA discussed California Megan's Law with facility representative :www.meganslaw.ca.gov.

No deficiencies cited. An exit interview was conducted, and appeal rights were provided. A notice of site visit was provided and to be posted at the facility for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021
LIC809 (FAS) - (06/04)
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