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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701237
Report Date: 11/13/2024
Date Signed: 11/13/2024 06:15:59 PM

Document Has Been Signed on 11/13/2024 06:15 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:CITY TREE CHRISTIAN INFANT CENTERFACILITY NUMBER:
376701237
ADMINISTRATOR/
DIRECTOR:		LISA PHIPPSFACILITY TYPE:
830
ADDRESS:320 DATE STREETTELEPHONE:
(619) 232-3794
CITY:SAN DIEGOSTATE: CAZIP CODE:
92101
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 5DATE:
11/13/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Facility Director Lisa PhippsTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 11/13/24 at 12:15PM, Licensing Program Analyst (LPA) Luigi Gargaro conducted an unannounced annual inspection. Upon arrival, LPA met with facility director Lisa Phipps. This is a full day program which operates year-round. Days and hours of operation are Monday – Friday 7:45am – 5:15pm. The director and LPA toured the infant room and playground. The following ratios were observed for the sole infant classroom: five children were being supervised by teacher Angelica Harrison and aide Elena Galura. All staff members have the required background clearances and are associated to the facility

Furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation and drinking water is available for the children. Storage areas are readily available, and the rooms accommodate class size. Napping equipment consists of cribs for younger infants and napping cots for the older infants. All changing tables are located next to respective sinks. Parents provide the children’s snacks and meals that are stored and prepared on-site. Cleaning supplies are kept out of reach of children.



Outdoor area for infants is separate from preschool outdoor area and has sufficient shade. The facility is free of flies, insects and rodents. Play equipment is age appropriate for the children in care. Drinking water is available both indoors and outdoors with the use of children's individual water bottles that are filled with water from filtered facility water dispensers.

LPA reviewed sign in sheets and medication policy and storage. Director confirmed that currently no infants in care have any medication that is being administered to them. Isolation area is the facility office. Personnel and client records were reviewed. The facility maintains an updated needs and services plan for infants in care after their initial assessment and an individual safe sleeping plan for the younger infants (12 months and under).
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2024
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: CITY TREE CHRISTIAN INFANT CENTER
FACILITY NUMBER: 376701237
VISIT DATE: 11/13/2024
NARRATIVE
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All staff members completed the required mandated online child abuse training. Facility has at least one staff on site with a valid EMSA approved pediatric CPR/First Aid certificates. LPA reviewed Emergency Disaster Plan and last fire and earthquake drills were conducted on 10/30/24. Facility has an operating carbon monoxide detector located in the infant center.

This facility currently is not dispensing any medication to children in care. Licensee is aware that an Incidental Medical Services - IMS - plan is required to be submitted to the licensing office if they provide any of these services. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

Licensee representative was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. The ABC’S of Safe Sleep: Sleep is Safest: Alone, on their Back in an empty Crib on a firm mattress.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at https://cdss.ca.gov/inforesources/community-care-licensing/subscribe. LPA discussed California Megan's Law with provider and advised her to go on the website at www.meganslaw.ca.gov.

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/process.

Facility representative 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 person will be assessed if this regulation is violated.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
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: CITY TREE CHRISTIAN INFANT CENTER
FACILITY NUMBER: 376701237
VISIT DATE: 11/13/2024
NARRATIVE
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LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

All unusual incident reports shall be submitted to Licensing office via email at SDIncidentReports@dss.ca.gov or via fax at (619)767-2203.

See related LIC809D for three type B violations issued during today's visit.

A notice of site visit was provided and to be posted at the facility for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 11/13/2024 06:15 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 11/13/2024 at 03:34 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CITY TREE CHRISTIAN INFANT CENTER
FACILITY NUMBER: 376701237

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101439(d)(2)
Infant Care Center Fixtures, Furniture, Equipment and Supplies
(d) Swings, playpens and all such equipment and furniture shall be assembled or installed according to the manufacturer's instructions, and shall be maintained in good repair and safe condition. (2) A baby walker shall not be allowed on the premises of a child care center in accordance with Health and Safety Code Section 1596.846.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst observation, the licensee did not comply with the section cited above as the licensee had baby bouncers in the infant napping area which poses/posed a potential health, safety or personal rights risk to infants in care.
POC Due Date: 11/13/2024
Plan of Correction
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Director was provided a prohibited items flyer during today's visit so that she is aware which pieces of equipment are not allowed in facilities. The items were removed during the visit by the director and prohibited equipment will not be used from this point going forward.
Type B
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst observation, the licensee did not comply with the section cited above as a cleaning spray bottle was found in an unsecured sliding door lower cabinet in the infant napping area which poses/posed a potential health, safety or personal rights risk to infants in care.
POC Due Date: 11/13/2024
Plan of Correction
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The spray bottle was removed and no other cleaning supplies were found in any other cabinets in the classroom. Director understands that all cleaning products must always be made inaccessible by use of a latch or placed out of reach of children. Violation was cited as a Type B one as cabinet doors and cleaner were closed and doors could only be moved by gripping punch out holes with some effort.
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:Jason Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 11/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/13/2024


LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 11/13/2024 06:15 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 11/13/2024 at 03:34 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CITY TREE CHRISTIAN INFANT CENTER
FACILITY NUMBER: 376701237

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101429(a)(2)(B)(2)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: (2) Signs of distress, which includes but is not limited to flushed skin color, increase in body temperature and restlessness.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst record review, the licensee did not comply with the section cited above as infant room teacher was unaware of the requirement to document infant napping activity which poses/posed a potential health, safety or personal rights risk to infants in care.
POC Due Date: 11/25/2024
Plan of Correction
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Analyst provided director with copy sample safe sleep log and advised her of regulation requirements. Director states she will have staff immediately begin completing the safe sleep logs and then send analyst a sample copy of completed log sheets for the dates of 11/14/24-11/22/24 for two infants of her choice by 11/25/24 to confirm the requirement is being met and complete the correction.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Jason Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 11/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/13/2024


LIC809 (FAS) - (06/04)
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