376700376-9-8-2021-51-CC-GCUS-C6NUC5-20210908152721

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700376
Report Date: 09/08/2021
Date Signed: 09/08/2021 03:27:36 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:	CENTER FOR CHILDREN AND FAMILIES AT CAL STATE SMS		FACILITY NUMBER:	376700376
ADMINISTRATOR:	LETISIA FORD		FACILITY TYPE:	850
ADDRESS:	453 LA MOREE ROAD		TELEPHONE:	(760) 750-8750
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92078
CAPACITY:	144	CENSUS: 84	DATE:	09/08/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Letisia Ford		TIME COMPLETED:	03:40 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On September 8, 2021 at 9:45 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced annual inspection. In addition to the annual inspection LPA addressed the licensee’s request for a room addition and capacity increase. Upon arrival LPA met with Director Letisia Ford and proceeded to tour the facility. Also present were a total of 84 children in the following classrooms: Classroom 124: 9 children with staff Katherine Gonzales Silva and Rebian Monteclaro Classroom 128: 9 children with staff Alissa Slevin and Maria Rubio Classroom 129: 5 children with staff Karina Jimenez Classroom 134: 7 children with staff Vanessa Anchante Classroom 137: 16 children with staff Pauline Collings and Danielle Diaz Classroom 138: 15 children with staff Ann Grossmann, Francine Lucena and Nancy Selander Classroom 146: 8 children with staff Karen Bachman and Elizabeth Gallegos Classroom 149: 15 children with staff Heather Sexton and Jenifer Dorsett Appropriate ratios and capacity were observed. Furniture and age appropriate equipment is in good condition indoors and outdoors. Children's toilets and hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food and beverages are stored in covered containers at 45 degrees F or less if required, and storage containers for solid waste are covered. Drinking water is readily accessible inside and outside the classroom. All disinfectants, cleaning solutions, and other hazardous items are inaccessible to children through latches and locks. Storage area for poisons is locked. Medications are kept in a safe place inaccessible to children. Outdoor play area is fenced. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The areas around or under high climbing equipment, swings, slides, and similar equipment is cushioned with material that absorbs a fall. The outside play area has canopies used for shade.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

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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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: CENTER FOR CHILDREN AND FAMILIES AT CAL STATE SMS	FACILITY NUMBER: 376700376
	VISIT DATE: 09/08/2021

NARRATIVE

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There are no bodies of water or weapons at this facility. No excluded individuals are present. Fire drills are being conducted every 6 months. There is an operational carbon monoxide detector at the facility. First Aid/CPR certifications were reviewed and are in compliance. LPA reviewed the parent/guardian sign in/sign out sheets. Of the 84 children present at the time of inspection, 19 did not have a parent or guardian sign them in. Admission Agreement forms were reviewed for some children. LPA reviewed 10 children files. Two of the children files reviewed did not include tuberculosis clearances. Staff records contain documentation of education, training, and/or experience. Menus are posted.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies. 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.

LPA reviewed the following with Director Ford: Updated Coronavirus 2019 Industry Guidance for Child Care Settings PIN 21-18-CCP and California Department of Public Health Child Care Industry Guidance updated June 29, 2021. LPA obtained an updated Emergency Disaster Plan for Child Care Centers- LIC610A, Personnel Report-LIC500, Children's Roster, a copy of fire drill log and Parent Handbook. The director will send LPA an updated LIC309-Administrative Organization form.

The facility is currently licensed to operate in 9 classrooms: 124, 128, 129, 133, 134, 137, 138, 146 and 149. The current operating capacity is 144 children. The facility has requested to add room 102, formally the adult classroom and increase capacity to 176 children ages 2-Kindergarten. The indoor classroom space was previously measured to be 6,191 sq. ft., sufficient for 176 children. There are 41 sinks and 13 toilets in the preschool rooms which is enough for 195 children. The outdoor activity space was previously measured to be 16, 649 sq. ft., sufficient for 221 children. Room 102 was measured today. It is 727.71 sq. ft., which will accommodate 20 children. The total indoor space is now measured to be 6,918.71 sq. ft. which will accommodate 197 children. The director requests that a small outdoor yard (musical garden) be approved for use. LPA inspected the area and found it to be safe for use. It is 1,147.14 sq ft. and will accommodate 15 children. The fire clearance for the additional room and capacity increase was granted 7/22/21. An updated license for a capacity of 176 children will be sent for posting.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

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: CENTER FOR CHILDREN AND FAMILIES AT CAL STATE SMS	FACILITY NUMBER: 376700376
	VISIT DATE: 09/08/2021

NARRATIVE

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See LIC809D for cited deficiencies.

Facility representatives were advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248. LPA also discussed California Megan's Law and LPA provided Director with the following website: www.meganslaw.ca.gov.

An exit interview was conducted with the Director and Appeal Rights (LIC 9058 1/16) were discussed. The director’s signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the director post notice of site visit.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: CENTER FOR CHILDREN AND FAMILIES AT CAL STATE SMS	FACILITY NUMBER: 376700376
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/08/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/24/2021 Section Cited	1 2 3 4 5 6 7	Child's Records: (b) The medical assessment shall provide the following:(2) Results of a test for tuberculosis. This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on LPA's record review the facility did not have a tuberculosis clearance for two of the ten children's files reviewed. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14
Type B 09/24/2021 Section Cited	1 2 3 4 5 6 7	Sign In and Sign Out: (b) The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on LPA's record review 19 children did not have parent/guardian signatures signing them in on the sign in sheet. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14

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: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

LIC809 (FAS) - (06/04)

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