372001091-2-6-2026-51-CC-JCVZ-DR2TAE-20260206133324

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 372001091
Report Date: 02/06/2026
Date Signed: 02/06/2026 01:33:56 PM

Document Has Been Signed on 02/06/2026 01:33 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:	MIRA MESA PRESBYTERIAN PRESCHOOL		FACILITY NUMBER:	372001091
ADMINISTRATOR/ DIRECTOR:	MICHELLE BENNETT		FACILITY TYPE:	850
ADDRESS:	8081 MIRA MESA BOULEVARD		TELEPHONE:	(858) 578-2160
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92126
CAPACITY: 63	TOTAL ENROLLED CHILDREN: 63	CENSUS: 22	DATE:	02/06/2026
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:50 AM
MET WITH:	Susan McCarthy		TIME VISIT/ INSPECTION COMPLETED:	01:45 PM

NARRATIVE

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On 02/06/26 at 8:50 AM Licensing Program Analyst (LPA) J.C. Valdez conducted an unannounced case management visit, to follow up on a self-reported incident that occurred on 12/02/25. LPA met with site supervisor Susan McCarthy and explained the purpose of the visit. LPA observed 22 children and 5 staff members in 3 classrooms. Facility is within ratio and capacity. All staff present were fingerprint cleared and associated to the facility.

Facility self-reported an incident, that occurred on 12/02/25, wherein children (C1) and (C2) exited classroom #2 and made it outside of the fenced area into the facility parking lot unsupervised. A parent (P1) witnessed the children outside and prevented the children from going further into the parking lot. Director Michelle Bennett and another parent (P2) also witnessed the incident. The children were escorted back to their classroom by P2 (parent of C1 and C2) and then signed out for the day. (C1) and (C2) were unharmed.

LPA conducted interviews with staff members(S1-S2). LPA reviewed video footage from the date of the incident. LPA obtained pertinent documentation, including the sign in and out sheet for classroom #2 on 12/02/25. Based on all evidence gathered, LPA determined that the incident that occurred on 12/02/25 involving (C1) and (C2) posed as an immediate health & safety risk to the children in care.

Since the incident, Director Michelle Benette has implemented new procedures and devices to ensure that the events of 12/02/25 do not happen again. All doors are to remain closed until a parent/guardian is present to physically escort their child out of the classroom. (see next page)

NAME OF LICENSING PROGRAM MANAGER: Keturah Lane
NAME OF LICENSING PROGRAM ANALYST: Juan Carlos Valdez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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: MIRA MESA PRESBYTERIAN PRESCHOOL	FACILITY NUMBER: 372001091
	VISIT DATE: 02/06/2026

NARRATIVE

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A staff member will present at the exit gate at the beginning of the day and at the end of the day to ensure no children leave the facility grounds unsupervised. Door alarms have been placed at every door in each ;classroom where children are present. LPA observed the door alarms during the inspection and took pictures.

A Type-A Deficiency is cited on the attached LIC809-D.

LPA J.C. Valdez informed Susan McCarthy that this report dated 02/06/26 documents 1 Type A citation which shall be posted for 30 consecutive days as there was an immediate risk(s) to the health, safety, or personal rights of children in care.

Also, J.C. Valdez informed Susan McCarthy to provide a copy of this licensing report dated 02/06/26 that documents any Type A citation(s) 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.

Exit interview conducted and report was reviewed with the site supervisor, Susan McCarthy. A notice of site visit was given and must remain posted for 30 days. Appeal rights were provided and discussed.

NAME OF LICENSING PROGRAM MANAGER: Keturah Lane
NAME OF LICENSING PROGRAM ANALYST: Juan Carlos Valdez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 02/06/2026 01:33 PM - It Cannot Be Edited

Created By: Juan Carlos Valdez On 02/06/2026 at 11:49 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: MIRA MESA PRESBYTERIAN PRESCHOOL	FACILITY NUMBER: 372001091
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/06/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/06/2026 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	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.	1 2 3 4 5 6 7	Director conducted a staff training on 12/03/25 & 12/10/25 regarding new safety procedures during pick up time and installed alarms on exit doors. LPA received signed meeting agenda and took photos. Deficiency cleared at visit
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Based on interviews, document review, and video footage obtained the facility did not comply with regulation above wherein two daycare children were left unsupervised. Due to the lack of supervision the children were able to leave the facility and reach the facility's parking lot during busy pickup traffic. This posed an immediate health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Keturah Lane
NAME OF LICENSING PROGRAM MANAGER:

	Juan Carlos Valdez
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/06/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2026

LIC809 (FAS) - (06/04)

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