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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700389
Report Date: 09/19/2022
Date Signed: 09/19/2022 04:08:08 PM

Document Has Been Signed on 09/19/2022 04:08 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:ROSA PARKS STATE PRESCHOOLFACILITY NUMBER:
376700389
ADMINISTRATOR:VERONICA LOPEZ-MENDEZFACILITY TYPE:
850
ADDRESS:4510 LANDIS STREETTELEPHONE:
(619) 282-6803
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 6DATE:
09/19/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Veronika Lopez-MendezTIME COMPLETED:
04:15 PM
NARRATIVE
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On 09/19/22 at 11:00AM, Licensing Program Analyst (LPA) Luigi Gargaro, conducted an unannounced Annual Inspection and met with school principal, Veronika Lopez-Mendez. LPA disclosed the purpose of the inspection and toured the facility indoors and outdoors. This is a half day program which operates on a traditional school year schedule. Days and hours of operation are Monday-Friday 7:30AM-10:30AM for the morning session and 11:00AM to 2:00PM for the afternoon session. There is currently one classroom in operation. The following ratios were observed: Classroom #3 (serves children age 2 through 5 years): There were 6 children present with five staff members including the two co-lead teachers, Holly Houston and Patricia Allen and aides Celeste Cook, Julia Padilla and student volunteer Stefani Woll.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All toilets and handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. Food is prepared in the school cafeteria. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility did not have one or more functioning carbon monoxide detectors that meet statutory requirements.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2022
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 5
Document Has Been Signed on 09/19/2022 04:08 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 09/19/2022 at 03:00 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ROSA PARKS STATE PRESCHOOL
FACILITY NUMBER: 376700389

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/19/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.954
Licensure Requirements
Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst observation, the licensee did not comply with the section cited above as the program's day care classroom did not appear to have an installed carbon monoxide detector which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 10/03/2022
Plan of Correction
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Program principal Ms. Lopez-Mendez states she will confirm with school's maintenance staff whether the school has a detector integrated as part of its other safety equipment in the classroom and, if not, will have it purchased and installed by 10/03/22. Analyst will conduct a return plan of correction visit to insure the device's installation and operability.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as staff records that analyst was able to review did not contain proof of required vaccination which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 10/03/2022
Plan of Correction
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Principal states staff will obtain copies of their vaccination records listing their required shots and have them placed in their files by 10/03/22. Analyst will conduct a return plan of correction visit to review the files and insure they have the required immunization records.
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 Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2022


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/19/2022 04:08 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 09/19/2022 at 03:00 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ROSA PARKS STATE PRESCHOOL
FACILITY NUMBER: 376700389

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/19/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based analyst record review, the licensee did not comply with the section cited above as no staff appeared to have completed Mandated Reporter Training certifications as required which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 10/24/2022
Plan of Correction
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Principal Lopez-Mendez states she will have all staff complete the training by 10/24/22 and submit copies of the certificates of completion to analyst by 10/24/22 to complete the correction.
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst recored review, the licensee did not comply with the section cited above as no staff appeared to have a current copy of CPR/First Aid certifications which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 10/24/2022
Plan of Correction
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Program director states that she will confirm with staff whether they have at least one member who has the required certifications and is present during classroom operating hours but will also have other staffers complete the training by 10/24/22 and send a copy of the certificates to analyst by 10/24/22.
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 Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2022


LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 09/19/2022 04:08 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 09/19/2022 at 03:00 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ROSA PARKS STATE PRESCHOOL
FACILITY NUMBER: 376700389

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/19/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(a)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst record review, the licensee did not comply with the section cited above as there were solely record files for the two classroom teachers and none of the classeoom aides which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 10/10/2022
Plan of Correction
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Program director Lopez-Mendez states files will be completed for all classroom staff members by 10/10/22. Analyst will conduct a return plan of correction visit to review the records to insure all documentation has been completed.
Type B
Section Cited
CCR
101220(a)
Child's Medical Assessments
(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst record review, the licensee did not comply with the section cited above as none of the record reviews demonstrated that any of the pm classroom children had obtained a written medical assessment which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 10/24/2022
Plan of Correction
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Ms. Lopez-Mendez states that she will advise parents of the assessment requirement and have them provide facility with evidence of a copy of a completed one and then send analyst copies for the children in question by 10/24/22 to complete the correction.
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 Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2022


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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: ROSA PARKS STATE PRESCHOOL
FACILITY NUMBER: 376700389
VISIT DATE: 09/19/2022
NARRATIVE
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A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. Capacity and limitations as specified on the license are being maintained. The facility does not have evidence of a person trained in CPR and Pediatric First Aid currently. The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. All children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children in care.

LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child. LPA reviewed a sample of staff files and observed files were incomplete, missing health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. Menus are posted at least one week in advance where an authorized representative can view them.

This facility is currently not providing Incidental Medical Services (IMS). Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Principal Veronika Lopez-Mendez discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, California Megan’s Law (www.meganslaw.ca.gov), Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D) An exit interview was conducted with Ms. Lopez-Mendez and she was provided a copy of their appeal rights (LIC 9058)

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2022
LIC809 (FAS) - (06/04)
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