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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701068
Report Date: 08/30/2019
Date Signed: 08/30/2019 03:16:53 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:SAY JERABEK PRESCHOOL CENTERFACILITY NUMBER:
376701068
ADMINISTRATOR:GEMMA LUZZIFACILITY TYPE:
850
ADDRESS:10050 AVENIDA MAGNIFICATELEPHONE:
(858) 578-5330
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY:28CENSUS: 22DATE:
08/30/2019
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Geornisha EppsTIME COMPLETED:
03:30 PM
NARRATIVE
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LPA Nancy Diaz conducted an unannounced annual site inspection today. LPA met and toured the facility with lead staff Geornisha Epps. All required notices, forms and license were posted in an area visible to the parents or authorized person. The following census were observed today: 22 with staff Geornisha Epps, Kazuyo Yokoyama & Alondra Ruiz-Diaz. Children-staff ratio was maintained during the inspection. All the children were observed napping.

There were no bodies of water observed present. Disinfectants, cleaning solutions, medications and other similar items are inaccessible to children via storage in cabinet above the counter. Furniture and playground equipment are kept in good condition, free of sharp, loose or pointed parts. All toilets and handwashing facilities are safe and working in sanitary condition. All floors are kept clean and safe. Kitchen, food preparation and storage areas are kept clean, free of litter, rubbish or rodents and other vermin.

All storage containers for solid waste have a tight-fitting covers that are kept on and in good repair. Uncontaminated drinking water are readily available both indoors and outdoor. The areas under high climbing equipment, swings, slides are cushioned with materials that absorbs a fall.


At least one person trained in CPR and Pediatric First Aid is present. Facility maintains current children’s record including emergency phone numbers of authorized representatives and medical assessment. Personnel record maintained on all staff including health screening.

CONTINUED ON PAGE 2 AND 3

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019
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 4
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: SAY JERABEK PRESCHOOL CENTER
FACILITY NUMBER: 376701068
VISIT DATE: 08/30/2019
NARRATIVE
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The licensee has not exceeded the conditions, limitations and capacity specified on the license.

A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances.


Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov and click on Child Care, go under Quick Links and Quarterly updates, click on “Receive Important Updates” then enter your email address and choose which program(s) you would like to subscribe to and click “subscribe”.

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

TYPE B DEFICIENCIES WERE CITED TODAY. Type B violation if not corrected, could become a risk to the health, safety, or personal rights of children in care.

LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative states it is understood that this notice must be posted for 30 days.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: SAY JERABEK PRESCHOOL CENTER
FACILITY NUMBER: 376701068
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/12/2019
Section Cited

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Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.
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This regulation was not met as evidenced by LPA's observation. There was a hole observed at the bottom of the slide (approx. 6 X 6) that poses a tripping hazard to children at play.
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Type B
09/12/2019
Section Cited

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Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child.
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This regulation was not met as evidenced by LPA's review of childrens' records. 12 childrens' files (deemed complete by the director) were missing Physician's Report. These children's medical assessments were not signed of by their physicians.
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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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: SAY JERABEK PRESCHOOL CENTER
FACILITY NUMBER: 376701068
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/12/2019
Section Cited

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RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION.
No child(ren) shall be left without the supervision of a teacher at any time.
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This requirement was not met as evidenced by LPA's observation. A child was found using the bathroom without staff supervision. Staff was observed on the other side of the wall, cleaning.
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Ms. Epps will submit topics covered during the meeting and provide signatures of staff she met with no later than 9/12/19.

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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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4