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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105020
Report Date: 03/03/2022
Date Signed: 03/03/2022 02:25:11 PM

Document Has Been Signed on 03/03/2022 02:25 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:EARLY LEARNERS CHILDREN'S ACADEMYFACILITY NUMBER:
376105020
ADMINISTRATOR:SHELLEY ARMASFACILITY TYPE:
850
ADDRESS:967 CAMINO DEL RIO SOUTHTELEPHONE:
(619) 295-5500
CITY:SAN DIEGOSTATE: CAZIP CODE:
92108
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: DATE:
03/03/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:59 PM
MET WITH:TIME COMPLETED:
02:30 PM
NARRATIVE
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On 3/3/22, Licensing Program Analyst (LPA), Tyra Block, conducted a case management visit to discuss the deficiencies found during a visit concerning another matter. Present at the facility were 38 children with 6 staff (Rm3-2:10, Rm4- 1:8, Rm5-2:10, Rm7-1:10).
Based on interviews, it was determined that the center did not report positive COVID cases to the child care licensing office after notifying the County Department of Public Health.

A Type B deficiency is cited on 809-D.

The Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2022
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 03/03/2022 02:25 PM - It Cannot Be Edited


Created By: Tyra Block On 03/03/2022 at 08:39 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: EARLY LEARNERS CHILDREN'S ACADEMY
FACILITY NUMBER: 376105020

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/11/2022
Section Cited
CCR
101212(d)(1)(C)

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101212(d)(1)(C)- Reporting Requirements: Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1)...a report shall be made to the Department...within the Department's next working day...In addition, a written report...shall be submitted to the Department...Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
This requirement was not met as evidenced by:
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Director stated going forward she will report all cases of COVID to child care licensing. A signed statement affirming this was provided at the conclusion of the visit.
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Based on interviews, there was more than 1 positive COVID case at the center that was not reported to licensing. This poses a potential health and safety risk for 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:Tashima Daniel
LICENSING EVALUATOR NAME:Tyra Block
LICENSING EVALUATOR SIGNATURE:
DATE: 03/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/03/2022


LIC809 (FAS) - (06/04)
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