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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701190
Report Date: 04/30/2019
Date Signed: 04/30/2019 04:00:24 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:CARLSBAD EDUCATIONAL FOUNDATION-VALLEY MIDDLEFACILITY NUMBER:
376701190
ADMINISTRATOR:ALIX MEYERFACILITY TYPE:
840
ADDRESS:1645 MAGNOLIA AVENUETELEPHONE:
(760) 331-5300
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:30CENSUS: 5DATE:
04/30/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:05 PM
MET WITH:Director/Site Supervisor Alix MeyerTIME COMPLETED:
04:10 PM
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Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of a random annual inspection. During this visit there were 5 children with Site Supervisor Alix Meyer. Facility is within ratio and capacity. Program operates after school from 2:20 p.m. to 6 p.m. on Mon, Tues, Wed and Friday and from 1:20 p.m. to 6 p.m. on Thursdays. LPA inspected the room. The furniture and equipment is safe, age-appropriate and in good repair. The room is well lit with good ventilation and was a comfortable temperature during this visit. No hazards were noted. When medications are present, they are stored in the classroom, inaccessible to children. School bathrooms are used with supervision to and from. Afternoon snack is provided and stored per regulation. Snack menu is posted and will be stored for 30 days. The area right outside the classroom is used for outdoor time and occasionally the school field is used. There is no evidence of rodent or insect activity. The carbon monoxide detector is operational. Site Supervisor has current CPA/FA certification with A-B-Cpr, valid thru 2/17/20. Sign in/out is electronic and sign ins matched the number of children present. Paper backup is on hand should the system malfunction. LPA observed appropriate supervision in and out of the classroom. A sample of children's records were reviewed for admission’s agreements and staff records for qualifications. Effects of Lead Exposure Handout was provided for dissemination to the parents/guardians of current and future enrollees. SB 792 (staff immunizations) and AB 1207 (Mandated Reporter Training) requirements have been met. 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. No services were in place today. LPA requests an updated LIC 500. No deficiencies are cited. NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2019
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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