376701361-10-20-2021-20-CC-MMAE-C7YTXM-20211020150723

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701361
Report Date: 10/20/2021
Date Signed: 10/20/2021 03:07:29 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 CDC		FACILITY NUMBER:	376701361
ADMINISTRATOR:	SHANNON HONTZ		FACILITY TYPE:	850
ADDRESS:	3040 IMPERIAL AVENUE		TELEPHONE:	(619) 947-9689
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92102
CAPACITY:	64	CENSUS: 34	DATE:	10/20/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Shannon Hontz		TIME COMPLETED:	01:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 10/20/21 at 10:30am, Licensing Program Analyst (LPA), Martha Malane arrived at the facility to conduct a Case Management Inspection for the purpose of a capacity increase. Upon arrival, LPA met with Director, Sharon Hontz and Chief Operations Officer (COO), Ebony James and proceeded to tour the facility. There were 34 children in care with six (6) staff members at time of inspection. Licensee is requesting a capacity increase from 64 children to 71 preschool children (age 2 - 5 years). Hours of operation are Monday - Friday from 6:00am to 6:00pm. Upon a records review, LPA observed that Staff #1 (S1) did not have a criminal record clearance associated to this facility. Per the Director, Sharon Hontz, S1 has been working at this facility since 6/26/2020, Monday - Friday 7:15am - 4:00pm. The following rooms were inspected and previously measured the following: · Voyagers Room measured a total of 676.61 square feet · Steam Room measured a total of 195.73 square feet · Library measured a total of 156.99 square feet · Explorers and Investigators Room measured a total of 1,487.53 square feet The total indoor space measured a total of 2,516. 85 square feet, which is sufficient to accommodate 71 children. The Steam room and the library are located in the Voyagers room. The classrooms are equipped with appropriate furniture, napping equipment (cots), tables, chairs, cubbies, bookshelves and other materials for children. There are six (6) toilets and six (6) sinks, which is sufficient to accommodate the requested capacity. LPA informed Ms. James, children are to be escorted and supervised by staff to and from the restrooms and direct visual observation is required at all times. Drinking water is available inside and outside through the use of water pitchers and refillable water bottles brought from home. The director's office and staff restroom will be used for isolation if a child becomes ill. See LIC809C continuation page...

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021

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 3

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: 10/20/2021

NARRATIVE

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The outdoor activity space was inspected and previously measured a total of 4,814.08 square feet, which is sufficient to accommodate 64 children, however licensee is requesting a capacity of 71 children. Licensee will submit a waiver request for 71 children to share the outdoor space on a scheduled basis. The outdoor space is fenced and shade is provided via shade sails. Proper supervision and placement of staff in the outdoor activity space was advised to ensure supervision and safety of children. A plan of operation was previously submitted and approved reflecting supervision and ratios during transition to and from the outdoor activity space.

A fire clearance for 71 preschool children (age 2 – 5 years) was granted on 10/19/2021.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited and a civil penalty issued: See next page LIC809D.

An exit interview was conducted with COO, Ebony James and LPA provided the following: LIC809, LIC809-C, LIC9213-Notice of Site Visit and Appeal Rights. A capacity increase for 71 children (age 2 - 5 years) in the Voyagers Room, Steam Room, Library, Explorers and Investigators Room may be granted after outside activity space waiver is submitted to CCL and approved and a final file review.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: 10/20/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/20/2021 Section Cited	1 2 3 4 5 6 7	101216(i)(2) Personnel Requirements (i) Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall:(2) Request a transfer of a criminal record clearance… This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on records review a criminal record clearance transfer was not submitted for Staff #1 as required, which poses a potential Health and Safety risk to the children in care.	8 9 10 11 12 13 14	Ms. James stated she will transfer new employees in Guardian and train the direcotrs in the process to ensure that prior to employment or initial presence in the facility, all employees will have a criminal record clearance and association to this facility.
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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: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021

LIC809 (FAS) - (06/04)

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