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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006542
Report Date: 04/19/2022
Date Signed: 04/19/2022 10:37:19 AM

Document Has Been Signed on 04/19/2022 10:37 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:NORTH PARK CHRISTIAN PRESCHOOLFACILITY NUMBER:
372006542
ADMINISTRATOR:ANITA CASTROFACILITY TYPE:
850
ADDRESS:2901 NORTH PARK WAYTELEPHONE:
(619) 220-0372
CITY:SAN DIEGOSTATE: CAZIP CODE:
92104
CAPACITY: 49TOTAL ENROLLED CHILDREN: 30CENSUS: 22DATE:
04/19/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Director Anita CastroTIME COMPLETED:
10:40 AM
NARRATIVE
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On 04/19/22 at 10:20 AM, LPA Luigi Gargaro conducted an unannounced case management visit to the facility to deliver a reporting requirement violation to the child care center.

In the course of investigating a complaint against the facility, it was determined that the licensee did not report an epidemic outbreak of COVID-19 cases that occurred at the facility between 02/03/22 to 02/09/22 to the Child Care Licensing Program as required by the Department.

An exit interview was conducted and the report was reviewed with facility director Anita Castro. A copy of this report, along with Appeal Rights (LIC9058 01/16), were provided. A notice of site visit was given and must remain posted for 30 days. LPA observed that the notice of site visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2022
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 04/19/2022 10:37 AM - It Cannot Be Edited


Created By: Luigi Gargaro On 04/19/2022 at 08:36 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: NORTH PARK CHRISTIAN PRESCHOOL
FACILITY NUMBER: 372006542

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/22/2022
Section Cited
CCR
101212(d)(1)(E)

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101212(d)(1)(E) Reporting Requirements – Upon the occurrence…of any of the events…below, a report shall be made to the Department…by telephone or fax within the Department's next working day...In addition, a written report…shall be submitted to the Department within seven days...(1) Events reported shall include the following: (E) Epidemic outbreaks.This requirement was not met as evidenced by:
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Director states she will submit a written statement to analyst that demonstrates her understanding of her reporting responsibilities to the Department for any event that may affect the health and safety of children in care and also complete and submit an LIC 624 Unusual Incident report detailing the outbreak event and its resolution to analyst by 04/22/22 to complete the violation correction.
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Based on LPA’s records review and interview with the facility director, the licensee did not report an epidemic outbreak in a facility classroom to the Department, which 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:Jason Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 04/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/19/2022


LIC809 (FAS) - (06/04)
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