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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701220
Report Date: 09/19/2023
Date Signed: 09/19/2023 02:10:35 PM

Document Has Been Signed on 09/19/2023 02:10 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:PLAYHOUSE PRESCHOOL FOREVER YOUNGFACILITY NUMBER:
376701220
ADMINISTRATOR:SHERRIE FOSTERFACILITY TYPE:
850
ADDRESS:7045 FORUM STREETTELEPHONE:
(858) 279-2016
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY: 78TOTAL ENROLLED CHILDREN: 78CENSUS: 0DATE:
09/19/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Shelley McDoleTIME COMPLETED:
02:15 PM
NARRATIVE
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On 9/19/23 at 1:00 PM Licensing Program Manager (LPM), Tashima Daniel and Licensing Program Analyst (LPA) Adrian Mangina conducted an office meeting with Licensee Shelley McDole, co-licensee of Infant Program Brooklyn McDole and Director Alicia Perez. The purpose of this meeting is to discuss CCL expectations and the facility's citation history, and to discuss center's current procedure/policy for responding to staff with behavior issues/concerns.

The following Regulations were reviewed and a copy of each listed were provided to Facility Representatives electronically: Section 101223 Personal Rights, Section 101229: Responsibility for Providing Care and Supervision, Section 101212 Reporting Requirements, Section 101226 Health-Related Services, Section 101219 Admission Agreements, Section 101161 Limitations on Capacity, and Section 101215.1 Child Care Center Directors Qualifications and Duties. Technical Service Program (TSP) referral was offered and Facility Representative declined TSP at this point in time.



Licensee states that she hired a new Director in August who is addressing the issues discussed in this meeting. New Director, Alicia Perez, has instituted new structures and scheduling guidelines that she is confident will prevent the issues that occurred under previous Director.

Licensee was also provided with the CDSS Child Care Licensing (CCL) Child Care Center Operators Resource link with instructional videos: https://ccld.childcarevideos.org/child-care-center-operators/ It is recommended for Director and staff to review the videos including, but not limited to: Children’s Personal Rights in Childcare, Child Care Reporting Requirements, Teacher to Child Ratios in Child Care Centers, and Supervising Children in Child Care Centers.

(continued on LIC809 page 2)
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2023
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 2
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: PLAYHOUSE PRESCHOOL FOREVER YOUNG
FACILITY NUMBER: 376701220
VISIT DATE: 09/19/2023
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LIC809 page 2

Licensee states they understand that staff need to abide by Health and Safety Code and Title 22 Regulations in the operation of their Child Care Center. Licensee was also provided with Provider Information Notice (PIN) 21-01-CCLD regarding Guardian. Licensee was provided with the incident Reporting email address: SDIncidentReports@dss.ca.gov

Licensee was advised to regularly visit the Community Care Licensing WEB SITE: www.ccld.ca.gov for quarterly updates and regulations. Summer 2023 Quarterly Update provided and TSP brochure was provided. Licensee states she is signed up to receive new PIN's. During meeting Licensee was provided the Duty Line: 619-767-2248.

A copy of this report and appeal rights were provided to Licensee, Shelley McDole. The above stated documents will be emailed to the Licensee at the conclusion of this meeting.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2