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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701402
Report Date: 12/01/2020
Date Signed: 12/01/2020 03:39:07 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:HILLTOP PRESCHOOLFACILITY NUMBER:
376701402
ADMINISTRATOR:MARLA MARTINFACILITY TYPE:
850
ADDRESS:12348B CASA AVENIDATELEPHONE:
(858) 486-6712
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:125CENSUS: 31DATE:
12/01/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Marla MartinTIME COMPLETED:
09:07 AM
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On 12/1/20 at 8:15 AM, Licensing Program Analysts (LPAs) Keturah Lane and Patrick Ma conducted an unannounced case management tele-inspection due to COVID-19 State of Emergency via Zoom with Director Marla Martin. The purpose of the visit was to inquire about recent positive cases of COVID-19 at the facility and compliance with COVID-19 guidelines. There is also an infant license at this facility #376701401 that has not been impacted by the Covid-19 positive cases. Director stated that following census for classrooms under the preschool license:

Bumblebees (Toddlers) - 0 children, classroom is currently closed due to COVID-19
Grasshoppers (After school program) – 0 children, classroom is currently closed due to COVID-19
Caterpillars (3 yr-olds) – 9 children with staff member Michelle Antunez
Dragonflies (Pre-K) – 5 children with staff member Alejandra Mejia
Fireflies (Pre-K) 8 children with staff member Vanessa Godinez
Ladybugs (2 yr-olds) – 9 children with staff member Carla Delhotal

On 9/21/20, the facility reported 2 positive cases in the Dragonfly classroom which closed on 9/21/20 and reopened on 10/1/20. There was also 1 positive case in the Caterpillar classroom and that classroom was reopened on 10/12/20. On 11/24/20, Licensing was notified by facility of one COVID positive staff member who worked a few hours prior to receiving positive results. Per Director all affected parents have been notified of all positive test results and Director closed the classroom. Director tried to call Public Health Dept on Monday 11/23/20 and received call back on 11/24/20. Per public health the facility was advised to close the affected classroom (Bumblebees) which had already been done and to notify all affected families. Bumblebee classroom will reopen on 12/8/20.
(Continued on LIC809-C...)
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2020
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: HILLTOP PRESCHOOL
FACILITY NUMBER: 376701402
VISIT DATE: 12/01/2020
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Director had an additional positive covid report from another staff member on 11/29/20 and was in the process of reporting it to Licensing. Staff member had last been at facility on Wednesday 11/25/20. Director contacted health dept on 11/30/20 and was advised to close the classroom and notify parents. Classroom closed is Grasshoppers (school age) and will reopen on 12/10/20. Facility is to submit a written unusual incident report (LIC624), facility roster (LIC9040) and updated personnel report (LIC500) by Thursday 12/3/20.

Director stated that an additional staff member also tested positive a couple of weeks ago, but she hadn’t been at the facility during the time of exposure. LPA reminded Director to report all positive covid-19 test results of staff, children and parents/guardians regardless of when they were last in contact with the facility to the health department and Licensing. Director stated she contacted the health department on both 11/24/20 and 11/30/20 regarding the latest two staff members that tested positive.

Staff shortages required the Director to end the meeting at 9:07 AM to attend to children in the open classrooms. Meeting will be continued via FaceTime at 2:30 PM today, 12/1/2020.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2020
LIC809 (FAS) - (06/04)
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