<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700997
Report Date: 08/31/2021
Date Signed: 08/31/2021 12:29:00 PM

COMPREHENSIVE INSPECTION
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:VINE LEARNING CENTER #2, THEFACILITY NUMBER:
376700997
ADMINISTRATOR:SAMANTHA AGUIRREFACILITY TYPE:
830
ADDRESS:6705 LINDA VISTA ROADTELEPHONE:
(858) 974-1222
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:58CENSUS: 29DATE:
08/31/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Director Samantha AquirreTIME COMPLETED:
12:35 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 8/31/21 at 10:50 a.m., Licensing Program Analyst, Joelle Redding, met with Director Samantha Aguirre for the purpose of an unannounced annual inspection. There were 29 infants present with 8 staff in two rooms. Room 2 (Toddler Room) 16 infants ages 12-24 mo. w/ 4 teachers and Room 3: 13 infants w/2 teachers and 2 Aides. Room #1 was closed due to a Covid exposure until 9/9/21. Facility is within ratio and capacity. Program operates Monday thru Friday from 6:30 a.m. to 5:30 p.m.

LPA toured the rooms. The furniture, books, games and toys are safe, age-appropriate and in good repair. Rooms were a comfortable temperature during this visit. No hazards were noted. All foods/beverages are labeled/dated and stored per regulation in the infant room refrigerator. Food service for older infants is brought in by Top Notch. There is a microwave for warming lunch and the menu is posted. Infant bedding/ napping equipment is sufficient and meets regulatory requirements. Hand washing and toileting areas are in a safe, sanitary and operating condition. All storage containers or trash cans containing solid waste have tight fitting lids and are in good repair. Infant changing tables have padded, washable vinyl at least one inch thick with sides raised at least 3 inches, per regulation and are within arm’s reach of a sink. There are several staff present with current CPR and First Aid certification. Any medications are kept in a labeled box in the classrooms, inaccessible to children. There is no evidence of rodent or insect activity. The carbon monoxide detector is operational in each room. LPA reviewed, sign in/out sheets (Bright Wheel electronic), a sample of personnel records for educational qualifications and a sample of children's records for emergency information and medical assessments. SB 792 (staff immunizations) and AB 1207 (Mandated Reporter Training) requirements have been met. Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com. Safe Sleep was discussed to include updated regulations, requirements and documents. . Infant Needs and Services plans were current and on file for all infants. LPA will email a sample sleep log and Form LIC 9227, Individual Sleeping plan to Director at sathevine@gmail.com.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2021
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: VINE LEARNING CENTER #2, THE
FACILITY NUMBER: 376700997
VISIT DATE: 08/31/2021
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
26
27
28
29
30
31
32
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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. Services are not in place

Director states that she is signed up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov.

See LIC 809D for Type B deficiency. Appeal Rights were provided and discussed. Signature at the bottom of this report confirms receipt.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2021
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: VINE LEARNING CENTER #2, THE
FACILITY NUMBER: 376700997
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/31/2021
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
Responsibility for Providing Care and Supervision for Infants. Documentation shall be maintained in the infant’s file...shall include the following...Date. Infant’s name.Time of each 15-minute check. Initials of staff person who conducted each check.
This requirement was not met as evidenced by:
8
9
10
11
12
13
14
Based on observation and interview with Director, it was determined that although staff was physically present in the napping area at all times an infant was sleeping, they were unaware that 15 minute checks were to be documented. This is a potential hazard to the health and safety of children in care.
8
9
10
11
12
13
14
Type B
09/14/2021
Section Cited

1
2
3
4
5
6
7
Infant Needs and Services Plan. Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)].

This requirement was not met as evidenced by:
8
9
10
11
12
13
14
Based on observation and interview with the Director, none of the infants under the age of 12 months had Form LIC 9227 on file. This is a potential hazard to the health and safety of children in care.
8
9
10
11
12
13
14
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: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:
DATE: 08/31/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/31/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3