376700911-9-7-2021-51-CC-GCUS-C6MQH8-20210907121043

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700911
Report Date: 09/07/2021
Date Signed: 09/07/2021 12:10:55 PM

Document Has Been Signed on 09/07/2021 12:10 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:	DMUSD CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	376700911
ADMINISTRATOR:	TARA FIELDS		FACILITY TYPE:	850
ADDRESS:	13030 ASHLEY FALLS DRIVE		TELEPHONE:	(858) 793-0071
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92130
CAPACITY: 73	TOTAL ENROLLED CHILDREN: 0	CENSUS: 45	DATE:	09/07/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Tara Fields		TIME COMPLETED:	12:15 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 9/7/21 at 9:05 a.m. Licensing Program Analyst (LPA) Leilani Curtis visited the facility to conduct an annual inspection. Upon arrival LPA met with Licensing Director, Tara Fields and proceeded to tour the facility. Also present were a total of 45 children in the following classrooms: · classroom 701: 11 children with staff members Emily Weiss and Sally Whitmore · classroom 201: 22 children with staff members Kelly Griffin and Joanne Baxter · classroom 202: 12 children with staff member Sara Meredith 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. Storage containers for solid waste are covered. The director states that children bring snack and lunch from home. 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. Area has canopies, umbrella’s and trees used for shade. 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. Sign in/sign out sheets are well maintained. Admission Agreement forms were reviewed for some children. Staff records contain documentation of education, training, and/or experience.

Tashima Daniel
Grace Curtis
	DATE: 09/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021

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: DMUSD CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 376700911
	VISIT DATE: 09/07/2021

NARRATIVE

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Of the ten children's files reviewed one child (C1) did not have a tuberculosis clearance in file.

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 Fields: PIN 21-18-CCP/Updated Coronavirus 2019 Industry Guidance and California Department of Public Health (CDPH) Guidance for Child Care Providers and Programs. LPA obtained an updated Parent Handbook, Personnel Report, LIC500, Emergency Disaster Plan, LIC610 and 2021-2022 calendar. The director will send LPA an updated copy of the LIC309, Administrative Organization.

Please see LIC809D for cited deficiency.

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
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/07/2021 12:10 PM - It Cannot Be Edited

Created By: Grace Curtis On 09/07/2021 at 11:56 AM

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: DMUSD CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 376700911
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/07/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/14/2021 Section Cited	1 2 3 4 5 6 7	Child's Medical Assessments: (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 one 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
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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

LICENSING EVALUATOR NAME:

Grace Curtis

LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021

LIC809 (FAS) - (06/04)

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