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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700613
Report Date: 06/14/2023
Date Signed: 06/14/2023 12:48:46 PM


Document Has Been Signed on 06/14/2023 12:48 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:CHILDREN'S VILLAGES CHILD DEVELOPMENT CTR.-INFANTFACILITY NUMBER:
376700613
ADMINISTRATOR:DANIEL ROCHAFACILITY TYPE:
830
ADDRESS:2506 EL CAMINO REALTELEPHONE:
(760) 434-5854
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:14CENSUS: 7DATE:
06/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Jordan Jones- Lead TeacherTIME COMPLETED:
01:15 PM
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On 06/14/2023 at 10:45am, Licensing Program Analyst (LPA) Samantha Clenista conducted an annual inspection. Upon arrival, LPA met with Lead Teacher, Jordan Jones and proceeded to tour the facility. LPA observed a total of 7 infants with 2 staff members. Children were observed playing indoors. Appropriate ratio, capacity and supervision was being provided during LPA’s tour. All required notices, forms and license were posted upon entry of the facility.

Rooms have adequate heating, lighting, and ventilation. The indoor play area used for the infants was observed to be physically separate from the preschool program. LPA observed all indoor play space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. Food service area consists of a kitchen which is clean and free of hazards. Facility requires the parents/guardians to bring their child(ren) lunches, however the facility has extra food/snacks in case someone forgets to bring their child food. Drinking water is readily accessible via refillable water jugs and water bottles. Ms. Jones stated there is no firearms/weapons on site. Facility has an operating carbon monoxide detector located in the mother’s nursing room. No bodies of water were observed during inspection. All hazardous items were latched/locked and secured out of reach of children, this includes detergents, cleaning compounds, medications and other items which could pose a danger to children. Inaccessibility of hazards must be constantly reassessed depending on the children in care.

Ms. Jones is reminded that any changes to the facility must be reported to and approved by Community Care Licensing. There is a changing table within an arm’s reach of a sink within the infant classroom. Infant needs and services plan is located within the classroom and was observed to be complete, and Ms. Jones was reminded that they should be updated quarterly.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:
DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/14/2023
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: CHILDREN'S VILLAGES CHILD DEVELOPMENT CTR.-INFANT
FACILITY NUMBER: 376700613
VISIT DATE: 06/14/2023
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There is a separate crib area for sleeping infants. LPA observed that each infant has their designated 15 minute sleep log. LPA reminded Ms. Jones that each infant's bedding shall be used solely per infant and not shared and shall be taken home at least weekly for washing.

Outdoor play areas are fenced, however, the fencing dividing the preschool and infant playground was observed to be in bad repair. LPA observed the fencing to consists of green netting that was attached to wooden stakes, however was falling over, making the fencing unstable and making both playgrounds accessible. Climbing structures, swings and slides were observed to be age appropriate and in good repair, with wood chips placed near falling zones. Areas on the playground have a mixture of canopies and trees used for shade.

LPA reviewed sign in sheets, first aid supplies and reviewed medication policy and storage, all areas are within compliance. Isolation area is the Director's office. Staff and children records were reviewed and were observed to be complete. Staff are current with the Mandated Reporter training per AB!207. All staff have required criminal record and child abuse index clearances. Facility’s last conducted and documented earthquake drill was conducted on 2/15/23. Facility has at least one staff member that has a valid EMSA approved pediatric CPR/FA when children are in care. Facility has tested their water for lead on 12/27/22 date, and no high levels of exceedance was reported.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023
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: CHILDREN'S VILLAGES CHILD DEVELOPMENT CTR.-INFANT
FACILITY NUMBER: 376700613
VISIT DATE: 06/14/2023
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Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at https://cdss.ca.gov/inforesources/community-care-licensing/subscribe. LPA discussed California Megan's Law with provider and advised her to go on the website at www.meganslaw.ca.gov.

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/process.



Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

See 9102 for technical violations. A notice of site visit was given and must remain posted for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00. Exit interview conducted and report was reviewed with the Director. As a reminder, all unusual incident reports shall be submitted to Licensing office via email at SDIncidentReports@dss.ca.gov or via fax at (619)767-2203.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2023
LIC809 (FAS) - (06/04)
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