372005051-3-27-2026-51-CC-JIRG-DSKUNE-20260327154350

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 372005051
Report Date: 03/27/2026
Date Signed: 03/27/2026 03:44:29 PM

Document Has Been Signed on 03/27/2026 03:44 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:	CONGREGATIONAL CHILDREN'S CENTER OF RAMONA		FACILITY NUMBER:	372005051
ADMINISTRATOR/ DIRECTOR:	MELINDA TRETERA		FACILITY TYPE:	850
ADDRESS:	404 EIGHTH STREET		TELEPHONE:	(760) 789-3329
CITY:	RAMONA	STATE: CA	ZIP CODE:	92065
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 40	CENSUS:	DATE:	03/27/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:15 AM
MET WITH:	Director - Melinda Tretera `		TIME VISIT/ INSPECTION COMPLETED:	02:00 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 March 27, 2026, at 9:15 a.m., Licensing Program Analyst (LPA) Jennifer Irving conducted an unannounced annual inspection of the facility. The purpose of the inspection was disclosed, and entry was granted by fully qualified teacher, Roxanne Chapel. Director, Mindy Tretera, arrived at 10:20 am. LPA reminded Director that a staff designated to provide back up when she is absence must be knowledgeable to assist licensing in all aspects of the visit. There were 16 children present with 5 staff, as follows: Toddler Room: 1 teacher supervising 3 children (18 months to 30 months) Preppy Room: 2 teachers supervising 6 children (4 years old) Butterfly Room: 1 teacher supervising 7 children (3–4 years old) The facility was observed to be operating within licensed capacity and required ratios. LPA toured the facility with staff, Roxanne Chapel, and met with Director, Mindy Tretera. The facility was clean, orderly, and maintained at a comfortable temperature. Adequate ventilation and heating were present. Furniture, equipment, toys, and materials were safe, age-appropriate, and in good repair. A variety of activities were available for children. All required postings were observed. Storage containers and trash receptacles containing solid waste had tight-fitting lids and were in good repair. The kitchen area was clean and sanitary. Food was properly stored in covered containers at 45 degrees Fahrenheit or below, with no expired or contaminated food observed. Food preparation practices met proper hygiene and safety standards. Menus were posted, maintained, and retained for at least 30 days. Food was stored separately from cleaning supplies and chemicals. Drinking water was readily available.

NAME OF LICENSING PROGRAM MANAGER: Joelle Redding
NAME OF LICENSING PROGRAM ANALYST: Jennifer Irving
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

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: CONGREGATIONAL CHILDREN'S CENTER OF RAMONA	FACILITY NUMBER: 372005051
	VISIT DATE: 03/27/2026

NARRATIVE

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Napping equipment was sufficient for each child. Bedding was stored separately, and mats/cots were observed to be disinfected after use. Adequate spacing between cots was maintained, and no exits were obstructed. No toddlers are using cribs. Sleep checks are conducted and documented every 15 minutes for all toddlers under 24 months and Infant Needs and Services Plans on are file, if applicable.

Handwashing and toileting areas were in safe, sanitary, and operating condition. Wastewater was properly discarded after use. Medications were stored in the classroom in a manner inaccessible to children. During inspection, expired medication was observed (see LIC 809D for deficiency). Medications taken outdoors were transported in backpacks and remained inaccessible to children.

Disinfectants, cleaning solutions, and other hazardous items were stored inaccessible to children. No evidence of rodent or insect activity was observed.

The outdoor play area was fully fenced with adequate cushioning and shade. The toddler component was observed to be using the preschool playground at separate times from the preschoolers. The facility requested a waiver which was denied as the playground contains a play structure that is not age appropriate. No provisions were put into place to safeguard the playground aside from supervision and there is no approved waiver on file.

Playground equipment was observed to be safe, age-appropriate, and securely anchored for the preschool students. Portable drinking water was available outdoors.

There were no bodies of water, firearms, or ammunition observed on the premises. The carbon monoxide detector was operational. The facility has a written disaster plan and conducts and documents emergency drills at least every six months. The last drill was conducted on March 17, 2026. The facility does not provide transportation

LPA reviewed sign-in/sign-out sheets, a sample of children’s records, and personnel records. At least one staff present held current Pediatric CPR and First Aid certification. The facility was reminded that Mandated Reporter Training must be renewed every two years and is available at www.mandatedreporterca.com.

NAME OF LICENSING PROGRAM MANAGER: Joelle Redding
NAME OF LICENSING PROGRAM ANALYST: Jennifer Irving
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CONGREGATIONAL CHILDREN'S CENTER OF RAMONA	FACILITY NUMBER: 372005051
	VISIT DATE: 03/27/2026

NARRATIVE

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Children are evaluated upon arrival and monitored throughout the day for signs of illness. The isolation area for ill children awaiting pick-up is located in the Director’s office.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Director, Mindy Tretera and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sle… as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

NAME OF LICENSING PROGRAM MANAGER: Joelle Redding
NAME OF LICENSING PROGRAM ANALYST: Jennifer Irving
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CONGREGATIONAL CHILDREN'S CENTER OF RAMONA	FACILITY NUMBER: 372005051
	VISIT DATE: 03/27/2026

NARRATIVE

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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Two Type B deficiencies are cited today. See the accompanying LIC 809D.

Exit interview conducted and report was reviewed with Director, Mindy Tretera. A copy of this report, along with Appeal Rights (LIC9058), were provided. A Notice of Site Visit was provided, posted during this visit, and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

NAME OF LICENSING PROGRAM MANAGER: Joelle Redding
NAME OF LICENSING PROGRAM ANALYST: Jennifer Irving
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/27/2026 03:44 PM - It Cannot Be Edited

Created By: Jennifer Irving On 03/27/2026 at 02:53 PM

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: CONGREGATIONAL CHILDREN'S CENTER OF RAMONA	FACILITY NUMBER: 372005051
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/27/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101226(e)(3)(a)

Prescription medications may be administered if all of the following conditions are met...Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician. This requirement was not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the facility had two expired epi-pens on hand. Adminstering expired medication would not be in accordance with the label directions or physician's directive. This is a potential risk to the health and safety of children in care.
	POC Due Date: 04/17/2026
	Plan of Correction
1 2 3 4	Director states she will return the expired medication to the parent, obtain an updated Health Screening and/or prescription, if applicable, and conduct a staff training to cover checking for expired medication. Copy of the agenda and roster for the training will be provided to Licensing by the plan of correction date.

Type B

Section Cited

CCR

101216.4(a)(2)

101216.4(a)(2) Preschool Program with Toddler Component. The toddler program shall be conducted in areas physically separate from those used by older or younger children... Plans to alternate use of outdoor play space must be approved by the Department. This requirement was not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	On March 27, 2026, LPA observed toddlers utilizing an outdoor play area with equipment not age-appropriate for their age group. There are no waivers on file for shared playground use..
	POC Due Date: 04/01/2026
	Plan of Correction
1 2 3 4	Director states she will submit a waiver request to share playground space. She states that she understands that the play structure would need to be made off limits and, in the meantime, direct supervision must remain in place and the two components are not to be present at the same time. Request for waiver will be submitted to Licensing by the plan of correction date.

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

	Joelle Redding
NAME OF LICENSING PROGRAM MANAGER:

	Jennifer Irving
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/27/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

LIC809 (FAS) - (06/04)

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