376701118-1-21-2020-51-CC-GCUS-BL33CP-20200121170816

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701118
Report Date: 01/21/2020
Date Signed: 01/21/2020 05:08:28 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:	MAAC EARLY HEAD START - WESTLAKE		FACILITY NUMBER:	376701118
ADMINISTRATOR:	MARY RITTINGHAUS		FACILITY TYPE:	830
ADDRESS:	415 AUTUMN DRIVE		TELEPHONE:	(760) 631-2695
CITY:	SAN MARCOS	STATE: CA	ZIP CODE:	92069
CAPACITY:	18	CENSUS: 15	DATE:	01/21/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Tahereh Maryam Adhami		TIME COMPLETED:	05:15 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	Licensing Program Analyst’s (LPA’s) Leilani Curtis and Samantha Salunga visited the facility for the purpose of conducting an annual random inspection. Upon arrival LPA's met with Tahereh Maryam Adhami, Director and proceeded to tour the facility. Also present was aide Alma Salazar, home base teacher Zita Licea and a total of 15 children in the following classrooms: #1 classroom: 8 children with staff members Melissa Gutierrez and Mayra Contreras #2 classroom: 7 children with staff members Jessica Vega, Monica Aguilar and Margarita Molano. Appropriate ratios and capacity were observed. There are no bodies of water or weapons at this facility. Toys are safe and do not have sharp points, edges, splinters, or small parts that can be pulled off. There is sufficient infant napping equipment. The restroom has one changing table which is within reach of a sink. The infant changing table has a padded surface no less than one inch thick, covered with washable vinyl, and raised sides at least 3 inches high. There are no walkers, bouncy seats, exersaucers or jumpers in the room. All infants/toddlers are under visual observation at all times. Rooms have adequate heating, lighting, and ventilation. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, and are in good repair. Disinfectants and hazardous items are inaccessible to children through latches and locks. The outdoor play area is fenced with sufficient material for cushioning. The outdoor play area also has canopies used for shade. There is an Individual Feeding and Needs and Services Plan for each child which was reviewed and in compliance. Menus are posted on a monthly basis. The director states that there are no infants that require bottle feedings. Drinking water is readily accessible inside and outside the classroom.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2020

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: MAAC EARLY HEAD START - WESTLAKE	FACILITY NUMBER: 376701118
	VISIT DATE: 01/21/2020

NARRATIVE

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Personnel records were reviewed for qualifications. Staff utilized as infant teachers have three child development units in infant/toddler care. During today’s inspection substitute teacher Margarita Molano was observed interacting with the children without being associated to the facility. All other staff have the required criminal record and child abuse index clearances. All staff members who are required to complete the Mandated Child Abuse Reporting-per AB1207 have done so. LPA’s reviewed certification and it is in compliance. Immunization records were reviewed and are also in compliance. Admission Agreement forms reviewed for some children. There is an operational carbon monoxide detector at the facility. Pediatric CPR/First Aid are current. Sign in/sign out sheets are well maintained. LPA’s reviewed the following with Ms. Adhami: SIDS, Safe Sleep Concepts, Effects of Lead Exposure, Prohibited Items and Car Seat Law. LPA’s obtained an updated LIC 500, LIC 610, director's packet and proof of enrollment in an 8 hour Preventative Health Training course. Ms. Adhami will send LPA’s a copy of her current children’s roster and LIC 9096 by Friday, 1/24/20.

Facility representatives were advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248. LPA’s also discussed California Megan's Law and LPA’s provided Director with the following website: www.meganslaw.ca.gov

See LIC809D for cited deficiencies. The Director was provided a copy of her appeal rights (LIC 9058 01/16) and her signature on this form acknowledges receipt of these rights. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA's observed Director post notice of site visit.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2020

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: MAAC EARLY HEAD START - WESTLAKE	FACILITY NUMBER: 376701118
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/21/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/21/2020 Section Cited	1 2 3 4 5 6 7	Criminal Record Clearance: (e)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 101170(f)...This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on LPA's observation substitute teacher Margarita Molano is fingerprint cleared but not associated to the facility. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace Curtis	TELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2020

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2020

LIC809 (FAS) - (06/04)

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