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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806086
Report Date: 05/03/2024
Date Signed: 05/03/2024 01:10:14 PM

Document Has Been Signed on 05/03/2024 01:10 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MANCHESTER FAMILY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
370806086
ADMINISTRATOR/
DIRECTOR:		SARAH KIMBALLFACILITY TYPE:
850
ADDRESS:1752 VIA LAS CUMBRESTELEPHONE:
(619) 260-4620
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 43DATE:
05/03/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Satah KimballTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On 05/3/24 at 11:00 am, Licensing Program Analyst (LPA) Gerald Poindexter conducted an unannounced site inspection for the purpose of follow-up on an incident that occurred on 04/19/24 at around 5:25 pm. A five-year-old child was discovered outside of the facility and unattended by staff. The incident was self-reported to Community Care Licensing by the facility with a written incident report that was received within the seven days requirement on 04/22/2024.

LPA Poindexter interviewed Director Sarah Kimball. Based on information obtained, it appears that the child (C1) was with staff (S1) on a playground area patio connected to a classroom. S1 left C1 to attend to another child. C1 transitioned on their own from the patio area and directly into the classroom. C1 was in the classroom alone. The child’s parent arrived at the classroom and then left to return to their vehicle, believing that staff supervision was present. Shortly thereafter, the child walked out of the classroom, past the facility reception area, and outside to the front of the facility. Just beyond the facility’s exit/entrance are several parking spaces. C1’s parent retrieved the child and returned them to the facility. C1 was alone, outside the building for at time estaimated at 2 minutes. C1 was not injured or harmed. The parents of C1 have discussed the incident with facility leadership. Director Kimball states that S1 is no longer employed at the facility.

The following ratios were observed today: 43 children from 4 classrooms on the playground and inside the facility, supervised by 7 staff members and the director. LPA reviewed staff records and 6 of 7 staff have the required background clearances and are associated to the facility.

LPA Poindexter informed Director Kimball that this report dated 5/3/24 documents one Type A citations which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. CONTINUED ON PAGE 2
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MANCHESTER FAMILY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 370806086
VISIT DATE: 05/03/2024
NARRATIVE
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Also, LPA Poindexter informed Director Kimball to provide a copy of this licensing report dated 5/3/24 that documents any Type A citation 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.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2024
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Document Has Been Signed on 05/03/2024 01:10 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 05/03/2024 at 11:52 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: MANCHESTER FAMILY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 370806086

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/03/2024
Section Cited
CCR
101229(a)(1)

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101229(a)(1) Responsibility for Providing Care and Supervision: (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by:
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The director states that she will conduct a staff meeting on 5/6/24 to review active supervision. Additionally, facility repairs were made so that doors self-close completely. The director will send LPA a copy of the meeting agenda and staff sign in sheet via email by 5/10/24.
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Based on interviews with the director, Staff #1 (S1) left child #1 (C1) without care and supervision, both inside and outside the facility, for several minutes on 4/19/24. This poses an immediate health, safety or personal rights risk to children in care.
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Type B
05/03/2024
Section Cited
CCR101170(e)

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CRIMINAL RECORD CLEARANCE. (e) All individuals subject to a criminal record review ...shall prior to working, residing or volunteering in a licensed facility...(2) Request a transfer of a criminal record clearance
This requirement was not met as evidenced by:
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Director Kendall stated that she will submit form to request staff to be associated to the facility immediately but no later than 5/6/24.
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Request a transfer of a criminal record clearance as specified in Section 101170(f). This requirement is not met as staff Melissa Hernandez Fuentes (Hired 3/12/24) has been working at the facility and her fingerprint is not associated to the facility. This poses a potential health and safety risk to children 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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2024


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