376700738-11-8-2019-51-CC-GCUS-BHQVG6-20191108152502

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700738
Report Date: 11/08/2019
Date Signed: 11/08/2019 03:25:16 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:	EES SAN MARCOS STATE PRESCHOOL		FACILITY NUMBER:	376700738
ADMINISTRATOR:	KELLY CLAWSON		FACILITY TYPE:	850
ADDRESS:	1 TIGER WAY		TELEPHONE:	(760) 290-2980
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92069
CAPACITY:	21	CENSUS: 19	DATE:	11/08/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Leticia Gonzalez		TIME COMPLETED:	03:30 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	Licensing Program Analysts (LPA’s), Leilani Curtis and Nancy Diaz, conducted an unannounced annual inspection. Upon arrival LPA’s met with Lead Teacher Leticia Gonzalez and proceeded to tour the facility. All required notices, forms and license were posted. There were 19 children with staff members Leticia Gonzalez, Elsie Baker and Anna Rector present. Children were engaged in various indoor activities during the inspection. Facility is within ratio and capacity. Children were not left without supervision during the inspection. Furniture and age appropriate equipment is in good condition. Toys are age appropriate and located in the indoor activity space within the classroom and separate from other programs. Rooms have adequate heating, lighting and ventilation. Storage cubbies are readily available and room accommodates class size. An operational carbon monoxide detector is present in the facility. Trash cans have tight fitting covers in good repair. Menu is posted. All disinfectants, cleaning solutions, and other hazardous items are inaccessible to children. Outdoor play area is a fenced playground with sufficient cushioning. Area has sufficient shade. Outdoor equipment is age appropriate. The last fire drill was conducted on 09/19/19. Isolation area is in the classroom’s library area. LPA’s reviewed sign in sheets. Personnel records were reviewed for health screening and transcripts. Client records were reviewed for LIC 700 and Medical Assessment. All personnel have required criminal record and child abuse index clearances or exemptions. CONTINUED ON PAGE TWO

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019

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: EES SAN MARCOS STATE PRESCHOOL	FACILITY NUMBER: 376700738
	VISIT DATE: 11/08/2019

NARRATIVE

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The facility is currently not providing Incidental Medical Services (IMS). 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.

During today's inspection the self-reported unusual incident of 10/17/19 involving a 4-year old child who was injured while playing on the play structure was discussed. LPA;'s inspected the play structure and determined that there were no structural defects which contributed to the child's injury. There was adequate cushioning material under the play structure. LPA's interviewed child #1 who stated that he lost his grip and fell off the structure and landed on his left arm. Appropriate first aid was immediately provided and the child's parents were contacted.

No deficiencies observed in the areas inspected today. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA's reviewed this report with Lead Teacher Leticia Gonzalez prior to obtaining her signature. LPA's observed Lead Staff post notice of site visit.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019

LIC809 (FAS) - (06/04)

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