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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700775
Report Date: 02/04/2025
Date Signed: 02/04/2025 02:55:58 PM

Document Has Been Signed on 02/04/2025 02:55 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MAAC PROJECT HEAD START CARLSBAD 1 - EUREKA PLACEFACILITY NUMBER:
376700775
ADMINISTRATOR/
DIRECTOR:		JACQUELYN BISKUPSKIFACILITY TYPE:
850
ADDRESS:3368 EUREKA PLACETELEPHONE:
(760) 720-4378
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY: 82TOTAL ENROLLED CHILDREN: 69CENSUS: 54DATE:
02/04/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Director, Jacquelyn BiskupskiTIME VISIT/
INSPECTION COMPLETED:
03:10 PM
NARRATIVE
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LPAs (Licensing Program Analysts) Saraliz Velando and Hanna Lucas conducted an unannounced follow up of a self-reported incident that occurred on 2/3/25. A child was found to be unsupervised in the bathroom.

LPA conducted staff interviews and determined that the child was without staff supervision for approximately 1-2 minutes. For this incident, a Type B deficiency was issued today. There were 54 children with 13 staff present today.

An exit interview was conducted with the Director, Jacquelyn Biskupski. The Appeal Rights with a copy of the report was provided.

The notice of site visit was posted and must remain for 30 days.
Joelle ReddingTELEPHONE: (619) 767-2249
Saraliz VelandoTELEPHONE: (619) 207-9809
DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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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Document Has Been Signed on 02/04/2025 02:55 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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


FACILITY NAME: MAAC PROJECT HEAD START CARLSBAD 1 - EUREKA PLACE
FACILITY NUMBER: 376700775

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2025
Section Cited
CCR
101229(a)

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Responsibility for Providing Care and Supervision- The licensee shall provide care and supervision as necessary to meet the child’s needs. This requirement was not met as evidenced by…
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Director stated she will have an all staff training that includes Zoning,Supervision,and Ethical Code of Conduct and submit proof of staff attendance to the Dept by 2/28/25.
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Based on staff interviews the licensee did not comply with the section cited above in that a child was left unsupervised for approximately 1-2 minutes which posed a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Joelle ReddingTELEPHONE: (619) 767-2249
Saraliz VelandoTELEPHONE: (619) 207-9809

DATE: 02/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2025

LIC809 (FAS) - (06/04)
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