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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105078
Report Date: 10/24/2022
Date Signed: 10/24/2022 01:06:03 PM

Document Has Been Signed on 10/24/2022 01:06 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:THOMSEN LEARNING CENTERFACILITY NUMBER:
376105078
ADMINISTRATOR:NICOLLE DANIELSFACILITY TYPE:
850
ADDRESS:217 EARLHAM STREETTELEPHONE:
(760) 440-0014
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY: 59TOTAL ENROLLED CHILDREN: 59CENSUS: 40DATE:
10/24/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Nicolle DanielsTIME COMPLETED:
12:00 PM
NARRATIVE
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On 10/24/22 LPA’s Patrick Ma and Selina Siao made an unannounced Case Management - Deficiency site inspection. There was no staff to greet LPAs upon arrival. LPAs announced their presence to Licensee/Teacher Pam Thomsen in her classroom. Director was upstairs with 15 students. There were 40 daycare children present with 5 teachers in 3 rooms. Facility was not within ratio in the toddler room.

See LIC809D for deficiencies cited.

LPA’s Patrick Ma and Selina Siao informed facility representative Nicolle Daniels that this report dated 10/24/22 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Ma and Siao informed the facility representative to provide a copy of this licensing report dated 10/24/22 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.

Exit interview conducted and report was reviewed with the facility representative Nicolle Daniels. A notice of site visit was given and must remain posted for 30 days
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2022
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 10/24/2022 01:06 PM - It Cannot Be Edited


Created By: Patrick Ma On 10/24/2022 at 11:43 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: THOMSEN LEARNING CENTER

FACILITY NUMBER: 376105078

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/25/2022
Section Cited

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H&S 1596.955(a)(3) A ratio of six children to each teacher is maintained for all children in attendance at the toddler program. An aide who is participating in on-the-job training may be substituted for a teacher when directly supervised by a fully qualified teacher. This requirement is not met as evidenced by:
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Based observation during inspection, room 1D, designated for the toddlers component had 11 children being supervised by one teacher. Staff Laura Digiacinto in the toddler's classroom stated there was no other staff in the class with her. This poses an immediate 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:Renesha Askew
LICENSING EVALUATOR NAME:Patrick Ma
LICENSING EVALUATOR SIGNATURE:
DATE: 10/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/24/2022


LIC809 (FAS) - (06/04)
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