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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701361
Report Date: 06/05/2019
Date Signed: 06/05/2019 02:58:27 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:FUTURE ACHIEVERS PRESCHOOL/LOGAN HEIGHTS CDCFACILITY NUMBER:
376701361
ADMINISTRATOR:VIVIANA RAMIREZFACILITY TYPE:
850
ADDRESS:3040 IMPERIAL AVENUETELEPHONE:
(619) 947-9689
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:26CENSUS: 16DATE:
06/05/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:01 PM
MET WITH:Shannon HontzTIME COMPLETED:
03:05 PM
NARRATIVE
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(3) Licensing Program Analyst (LPA) Selina Siao conducted an unannounced random inspection. Upon arrival, LPA met with current Director Shannon Hontz and proceeded to tour the facility. Upon arrival, the following ratio were observed: Staff Pamela Sanchez was supervising 8 children and another 8 children returned from the playground with staff Sonya Session. Furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation and drinking water is available for children. Storage cubbies are readily available for children. Napping equipment consists of cots and each cot has its own sheet or covering. Facility have operational toilets and faucets with appropriate temperature. Paper towels and toilet paper are available. Food service area consists of a kitchen located upstairs which is clean and free of hazards. Menu is posted. Adequate food is available for meals and snacks. Cleaning supplies are kept out of reach of children. Outdoor play area is a fenced playground. Equipment is age appropriate for the children in care. Portable water is available for children when they are outside. The outdoor playground is free of debris or potential hazards. LPA reviewed sign in sheets, first aid supplies and reviewed medication policy and storage, all areas are in compliance. Isolation area is the Director's office. Personnel and client records were reviewed. All personnel have required criminal record and child abuse index clearances or exemptions. Fire drill log is not available for review. Reporting requirements and AB633 was also reviewed. The following items were requested to be updated at all times: Personnel Report, Emergency Disaster Plan and Designation of Responsibility. Facility has an operating carbon monoxide detector.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
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 5
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: FUTURE ACHIEVERS PRESCHOOL/LOGAN HEIGHTS CDC
FACILITY NUMBER: 376701361
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2019
Section Cited
HSC
1596.8662(4)(b)(4)
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The licensee of a licensed child day care facility shall obtain proof from an administrator or employee of the facility that the person has completed mandated reporter training in compliance with this subdivision.
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Facility representative stated that staff S.S. will complete the mandated online training and will submit a copy of the certificate to Licensing by 6/21/2019.
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This requirement is not met as staff member S.S. online mandated reporter training certificate is not available for review.
This poses a potential health and safety risk to clients in care.


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Type B
06/17/2019
Section Cited
CCR
1596.7995(a)(1)
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Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
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Facility representative stated that staff S.S. will obtain her required immunization records and will submit it to Licensing by 6/17/2019.
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This requirement is not met as staff S.S. required immunization records are not available for review. This poses a potential health and safety risk to clients in care.


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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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5
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: FUTURE ACHIEVERS PRESCHOOL/LOGAN HEIGHTS CDC
FACILITY NUMBER: 376701361
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2019
Section Cited
CCR
101239(f)(1)
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All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof. This requirement is
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Facility representative stated that she will purchase a new trash can with a lid. Photo of the new trash can will be submitted to licensing 06/14/2019.
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not met as there is a rice cake in the trash can inside the classroom by the sink that does not have a lid. This poses a potential health and safety risk to clients in care.


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Type B
06/21/2019
Section Cited
CCR
101174(d)(2)
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Disaster drills shall be conducted at least every six months. ) The drills shall be documented, the documentation shall be kept in the child care center for at least one year.
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Facility representative stated that she will conduct a fire drill with the children in care and will submit a copy of the drill log to Licensing no later than 06/21/2019.
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This requirement is not met as a facility drill log is not available for review. This poses a potential health and safety risk to clients in care.

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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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: FUTURE ACHIEVERS PRESCHOOL/LOGAN HEIGHTS CDC
FACILITY NUMBER: 376701361
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/17/2019
Section Cited
HSC
1596.841
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Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.

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Facility representative stated that she will submit the facility roster to Licensing by 06/17/2019.
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This requirement is not met as a facility roster is not available for review today. This poses a potential health and safety risk to clients in care.


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Type B
07/02/2019
Section Cited
CCR
101216.1(g)
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A photocopy of the teacher's Child Development Permit as specified in (c)(3) above, or a photocopy of the teacher's transcript(s) documenting successful completion of required course work, shall be maintained at the center.
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Facility representative stated that she will obtain both staff members transcripts along with course description if needed to Licensing no later than 07/02/2019.
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This requirement is not as staff members P,S. and S.S. complete transcript is not available to demonstrate that they are qualified teachers. This poses a potential health and safety risk to clients in care.
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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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: FUTURE ACHIEVERS PRESCHOOL/LOGAN HEIGHTS CDC
FACILITY NUMBER: 376701361
VISIT DATE: 06/05/2019
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. 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

Facility representative was advised to email childcareadvocatesprogram@dss.ca.gov to request to be on the distribution list to obtain the child care updates. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Refer to the next page LIC 809D for deficiency citation.

An exit interview was conducted and appeal rights were provided. A Notice of Site Visit was posted today and Site Director was explained that it must remain posted for a period or 30 days. Failure to keep notice posted will result in a civil penalty of $100.00

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5