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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701116
Report Date: 09/06/2022
Date Signed: 09/06/2022 02:48:24 PM


Document Has Been Signed on 09/06/2022 02:48 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:NHA - JOHNSON EARLY LEARNING ACADEMYFACILITY NUMBER:
376701116
ADMINISTRATOR:EMMA SEWELLFACILITY TYPE:
850
ADDRESS:5760 LUBER STREETTELEPHONE:
(619) 798-3330
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY:76CENSUS: 30DATE:
09/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Emma Sewell, DirectorTIME COMPLETED:
01:20 PM
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On 09/06/2022, at 11:00 am., Licensing Program Analyst (LPA) Michelle Hood, conducting an unannounced Annual Inspection for the preschool license and met with Director, Emma Sewell. LPA disclosed the purpose of the inspection and toured the facility indoors and outdoors. The facility opened for the new school year on 09/06/2022. This is a full-day program. Day and hours of operation from Monday through Friday 7:45 am to 3:15 pm.

Observed during today's inspection:
Classroom #1: fourteen preschool children with three staff
Classroom #2: sixteen preschool children with three staff
Classroom #3 & #4 are closed at this time for children.

There are no bodies of water on the premises. There are no firearms or ammunition stored on the premises. Disinfectants, cleaning solutions, medication, and other hazardous items are made inaccessible. No poisons were observed during the inspection.

Furniture and playground equipment is in a safe condition, free of sharp, loose, or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All toilets and handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. All kitchen, food preparation, and storage areas are clean, free of litter/rubbish, and free of rodents/vermin. All 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. Areas around the pre-school play equipment have cushioning material to absorb falls. There is a working carbon monoxide detector.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:
DATE: 09/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/06/2022
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: NHA - JOHNSON EARLY LEARNING ACADEMY
FACILITY NUMBER: 376701116
VISIT DATE: 09/06/2022
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A review of staff records on this date indicates 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 director will comply and act immediately to terminate the employment of, remove from the facility, or bar from entering the facility for any person it deemed necessary while the Department considers granting or denying an exemption. Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.Staff records contain documentation of meeting qualification requirements.

LPA discussed Incidental Medical Services (IMS). The facility has an IMS plan on 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Capacity and limitations as specified on the license are being maintained. At least one (1) person trained in CPR and Pediatric First Aid is present when children are present at the facility or off-site activities. The name of the childcare 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 the supervision, including visual supervision, of a teacher always. The facility maintains a ratio of one teacher supervising no more than 12 pre-school children in care. LPA reviewed a sample of children's files and observed files were complete with contact information for authorized representatives and or relatives or others who can resume responsibility for the child and medical assessment. Menus are posted monthly in advance where an authorized representative can view the menu.

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, Mandated Reporter Training, Safe Sleep in Child Care, California Megan's Law (www.meganslaw.ca.gov), Lead Poisoning Facts, Forms, and Regulations
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2022
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: NHA - JOHNSON EARLY LEARNING ACADEMY
FACILITY NUMBER: 376701116
VISIT DATE: 09/06/2022
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/nspection-process.

LPA was provided updated LIC 500, and LIC 610.

An exit interview was conducted and the report was reviewed with the director . The director was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. No deficiencies were cited.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2022
LIC809 (FAS) - (06/04)
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