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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343623835
Report Date: 05/23/2023
Date Signed: 05/23/2023 11:52:21 AM

Document Has Been Signed on 05/23/2023 11:52 AM - 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:HODGE LEARNING CENTERFACILITY NUMBER:
343623835
ADMINISTRATOR:JEN, DEBBIEFACILITY TYPE:
830
ADDRESS:7277 LONE PINE DRIVE STE C-102TELEPHONE:
(619) 663-0574
CITY:RANCHO MURIETASTATE: CAZIP CODE:
95683
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
05/23/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Debbie JenTIME COMPLETED:
11:15 AM
NARRATIVE
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On 5/23/2023, Licensing Program Analysts (LPA) Amanda Sutter met with Lead Teacher Jacqueline Knight Welch for the purpose of a case management inspection. Director Debbie Jen was not at the center upon arrival, but arrived around 9:45 AM. LPA observed 5 children supervised by 2 staff.

Upon arrival, LPA observed staff 1 (S1) in the playground area supervising 2 children alone. LPA then observed staff 2 (S2) supervising 3 children alone in the infant room. LPA reviewed staff files for S1 and S2 and did not see transcripts in their files. LPA spoke with S1, who stated that they were currently enrolled in college courses and had obtained 3 units in the 2023 Fall semester for a Child Development course. LPA asked S2 if they had any college courses and they said that they did not.

Based on the inspection, one Title 22 Deficiencies have been issued on the attached LIC 809-D. The licensee was informed that this report dated 5/23/2023 documents one Type A citation which shall be posted for 30 consecutive days. The licensee shall also provide a copy of this licensing report to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Licensee has been provided with appeal rights. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the director Debbie Jen.

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Amanda Sutter
LICENSING EVALUATOR SIGNATURE: DATE: 05/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/23/2023
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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Document Has Been Signed on 05/23/2023 11:52 AM - It Cannot Be Edited


Created By: Amanda Sutter On 05/23/2023 at 11:33 AM
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
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: HODGE LEARNING CENTER
FACILITY NUMBER: 343623835

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/23/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/24/2023
Section Cited
CCR
101416.3(b)

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101416.3 Infant Care Aide Qualifications and Duties (b) An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher...
This regulation was not met as evidenced by:
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Director stated that she is in the process of hiring staff for the infant classroom. Director will provide LPA with written statement, for all staff to sign, saying that they understand that aides must be supervised by a teacher and that children cannot be supervised by aides without a ...
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Based on observation and record review, the facility did not comply with the section cited above as LPAs observed Staff 1 and Staff 2, who were determined to be aides, supervising children without a teacher present, which poses an immediate health, safety or personal rights risk to persons in care
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teacher present. LPA provided director with infant supervision regulations.

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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:Seychelle De Luca
LICENSING EVALUATOR NAME:Amanda Sutter
LICENSING EVALUATOR SIGNATURE:
DATE: 05/23/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/23/2023


LIC809 (FAS) - (06/04)
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