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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701361
Report Date: 08/20/2019
Date Signed: 08/20/2019 04:14:04 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: 15DATE:
08/20/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:31 PM
MET WITH:Shonnon Hontz/DirectorTIME COMPLETED:
04:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Selina Siao conducted an unannounced plan of correction inspection to ensure that the facility is within compliance. Upon arrival LPA Siao met with Director Shonnon Hontz who was supervising 15 children with 3 children that were napping on cots. 12 of the children were sitting at the tables getting ready to eat snacks. About three minutes later staff Sonya Session returned from the kitchen with snacks for the children.

All staff members have the required background clearances and are associated to the facility.

The following handouts were provided to facility representative today:
  • PIN 19-10-CCP – U.S. Consumer Product Safety Commission recall
  • PIN 19-09-CCP – Head Lice Information for Child Care Providers
  • Health & Human Services Agency Guidance on Head Lice Prevention and Control
  • PIN 19-08-CCP – CA Department of Public Health New Pre-Kindergarten Immunization requirements
  • PIN 19-06-CCP – U.S. Consumer Product Safety Commission recall
  • PIN 19-02-CCP – Safe Sleep Awareness Campaign

See LIC809D for deficiency:

A Notice of Site Visit was posted today and it must remain posted for a period or 30 days. Failure to keep notice posted will result in a civil penalty of $100.00. Provided appeal rights to licensee today.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2019
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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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: 08/20/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/22/2019
Section Cited
CCR
101216.3(a)
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There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement was not met as evidence by:
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COO Ebony James stated that staff members schedules will be change to ensure the facility will maintain the 1:12 ratio requirement when children are awake. A copy of the schedule will be submitted to
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Analyst Siao observed Director Shannon Hontz supervising 15 children including 3 napping children. As staff Sonya Session went upstairs getting snacks for the children. This poses a potential health and safety risk to clients in care.

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LPA Siao along with a written plan of correction statement no later than 08/22/2019.
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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: 08/20/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2019
LIC809 (FAS) - (06/04)
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