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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700936
Report Date: 01/19/2022
Date Signed: 09/21/2022 10:09:28 AM


Document Has Been Signed on 09/21/2022 10:09 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 09/20/2022 04:14 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

NARRATIVE
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This is an amended version of the report created on 01/19/2022.

On 01/19/2022 at 10:40 AM, Licensing Program Analysts (LPAs) Marie Hernandez and Crystal Tillory conducted an unannounced Case Management Inspection at the facility for the purpose of reviewing the operation of the facility. LPAs met with the Facility Director, Randi Schwartz. There were eight children with two staff in the Narwhals Classroom, in the Penguins Classroom, there were ten children with two staff and in the Lamas Classroom, there were eight children with two staff.

No deficiencies cited.



See LIC 809-C for continuation...
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:
DATE: 01/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/19/2022
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: ASPEN LEAF PRESCHOOL
FACILITY NUMBER: 376700936
VISIT DATE: 01/19/2022
NARRATIVE
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This is an amended version of an original report created on 01/19/2022.

Appeal Rights were discussed and provided. The signature at the bottom of this report confirms receipt. A notice of site visit was given and must remain posted for 30 days.

An exit interview was conducted and the report was reviewed with the facility director, Randi Schwartz.

SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 09/21/2022 10:10 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 09/20/2022 04:50 PM

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: ASPEN LEAF PRESCHOOL
FACILITY NUMBER: 376700936

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
01/20/2022
Section Cited

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101223 (a)(2) Personal Rights - The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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Based on LPAs observations and interviews conducted, the licensee did not ensure the personal rights of children in care to safe and healthful accommodations as twenty six children were not wearing face coverings indoors as required by the State Public Health Officer Order dated June 11, 2021, which poses a potential risk to the health, safety, or personal rights of children in care.
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The Appeal Rights were discussed and provided.

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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: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:
DATE: 01/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/19/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3