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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105079
Report Date: 02/14/2023
Date Signed: 02/14/2023 01:51:14 PM

Document Has Been Signed on 02/14/2023 01:51 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:
376105079
ADMINISTRATOR:NICOLLE DANIELSFACILITY TYPE:
830
ADDRESS:217 EARLHAM STREETTELEPHONE:
(760) 440-0014
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 9DATE:
02/14/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Nichole DanielsTIME COMPLETED:
11:00 AM
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On 2/14/23 at 9:20am Licensing Program Analyst (LPA) Patrick Ma and Licensing Program Manager (LPM) Renesha Askew conducted an unannounced Case Management visit for the purpose of monitoring licensee's compliance with the noncompliance plan agreed to on 11/16/22. Present at the facility were 9 infants with 3 staff in room 1E. All 3 staff (S1-S3); 2 aides, 1 teacher (not fully qualified).

Facility roster (LIC 500) was provided during visits. Director advised Preventative Plan Addendum (per NCC plan), staff verification of training (per NCC plan) were not provided as required. Director given extension to complete and submit by 2/28/23. Director was reminded that per NCC all new staff must receive in-service training on the preventative plans and procedures as part of their job orientation, prior to presence in classroom. Proof of the training must be kept on file for review. A selection of staff and children files were reviewed and some incomplete.

Director was reminded that both her and Licensee are to complete online Smart Horizon courses (naccrra.smarthorizons.org) as follows: Ethical Behavior (2hrs), Professional Practices (1hrs), Assessing Child Care Business Practices (1hrs), Staffing Child Care Programs (1hr). Proof of completion must be submitted by 2/28/23.

During the visit, S2 - S3 were fingerprint cleared but not associated to the facility but LPA verified association was requested on their Live Scan form application and DOJ response letter. Director associated both staff during the visit.

3 Type B deficiencies were observed and cited on LIC 809D during today's visit, a civil penalty was also assessed for a failure to correct of 101416.5(b)(1)(A), H&S 1596.8595 (c)(1)(4)-(d)(1)(4).
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: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2023
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 02/14/2023 01:51 PM - It Cannot Be Edited


Created By: Patrick Ma On 02/14/2023 at 10:09 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: 376105079

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/15/2023
Section Cited
CCR
101416.5(b)(1)(A)

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Staff-Infant Ratio. (b) There shall be a ratio of one teacher for every four infants in attendance. (1) An aide may be substituted for a teacher when... (A) There is a fully qualified teacher directly supervising no more than 12 infants...This requirement was not met as evidenced by:
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Director stated, she will rotate fully qualified staff with a teacher in the infant room starting 2/15/23, meeting regulations.
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Based on observation, present at the facility during the visit were 9 infants with 3 staff in room 1E. All 3 staff (S1-S3); 2 aides, 1 teacher (not fully qualified). This poses a potential health and safety risk to the persons 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: 02/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/14/2023 01:51 PM - It Cannot Be Edited


Created By: Patrick Ma On 02/14/2023 at 10:35 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: 376105079

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/14/2023
Section Cited
CCR
101217(a)

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101217(a) Personnel Records: The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. This requirement was not met as evidenced by:
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Director was provided LIC 811 for the missing personnel documents. Director stated, all documents and proof of scheduled health screening will be submitted to the department by 3/14/23,
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Based on file review of staff S1 - S3, the LIC 503 Health screening and/or Mandated reporter were missing from file. This poses a potential health and safety risk to children in care.
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Type B
03/01/2023
Section Cited
HSC1596.8595(c)(1)(4)

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H&S 1596.8595 (c)(1)(4)-(d)(1)(4) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care. (4) The licensee shall keep verification of receipt in each child's file. This requirement was not met as evidenced by:
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Director stated, she will submit missing LIC 9224 to the department for C1 by 2/24/23 and ensure all other children have signed LIC 9224 on file.
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Based on records review, 1 of 4 childrens files were missing LIC 9224. This 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:Renesha Askew
LICENSING EVALUATOR NAME:Patrick Ma
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2023


LIC809 (FAS) - (06/04)
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