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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700918
Report Date: 09/15/2021
Date Signed: 09/15/2021 04:15:44 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:GRACE KIDS CHRISTIAN PRESCHOOLFACILITY NUMBER:
376700918
ADMINISTRATOR:COLLEEN TERANFACILITY TYPE:
850
ADDRESS:2716 MADISON AVENUETELEPHONE:
(619) 269-8080
CITY:SAN DIEGOSTATE: CAZIP CODE:
92116
CAPACITY:109CENSUS: 61DATE:
09/15/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Colleen TeranTIME COMPLETED:
04:20 PM
NARRATIVE
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On 9/15/2021, at 1:40pm, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced Annual Inspection and met with Director, Colleen Teran. LPA disclosed the purpose of the inspection and toured the facility indoors and outdoors. This is a full day, year-round program. Days and hours of operation are Monday-Friday 7:00am - 6:00pm. There are currently five (5) classrooms in operation. The following ratios were observed:

Classroom 1 (serves children age 2 years): There were six (6) children and two (2) staff members
Classroom 3 (serves children age 2 through 3 years): There were nine (9) children and two (2) staff members
Classroom 4 (serves children age 3 years): There were eight (8) children and one (1) staff member
Classroom 5 (serves children age 4 through 5 years): There were 29 children and two (2) staff members
Classroom 6 (serves children age 2 years): There were nine (9) children and one (1) staff member
There were 61 children present with eight (8) staff members.

Director stated there is no swimming pool or other bodies of water on the premises. Director state there are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible.

Furniture and equipment are in good condition at this time. Playground equipment is in safe condition at this time. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Toilets and handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. Kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. 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. The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements.
See continuation LIC809C...
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2021
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 3
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: GRACE KIDS CHRISTIAN PRESCHOOL
FACILITY NUMBER: 376700918
VISIT DATE: 09/15/2021
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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. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. 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 and medical assessment. LPA reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles. There were five (5) staff records missing 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 provides Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records and found the medication of two (2) children to have expired. 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 director 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, Guardian, California Megan’s Law (www.meganslaw.ca.gov) and Lead Poisoning Facts.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: see next page, 809D. An exit interview was conducted with director, Colleen Teran. Director was provided a copy of their appeal rights (LIC 9058) and Technical Advisory, LIC9102.

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.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: GRACE KIDS CHRISTIAN PRESCHOOL
FACILITY NUMBER: 376700918
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/15/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/17/2021
Section Cited

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101226(e)(3)(A) Health Related Services(e)In centers where the licensee chooses to handle medications: (3)Prescription medications may be administered if… (A)…shall be administered in accordance with the label directions… This requirement has not been met as evidenced by:
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Based on records review and director’s admission, director did not ensure medication was properly handled and stored as medication for C1 and C2 was expired which poses a potential risk to the health and safety to children in care.
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Type B
09/29/2021
Section Cited

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1596.8662 (40)(b)(1) Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter...shall complete renewal mandated reporter training every two years...This requirement was not met as evidenced by:
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Based on records review and director’s admission Mandated Reporter Training certificates expired for five (5) staff members. This poses a potential health and safety risk to children 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.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:
DATE: 09/15/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/15/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3