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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105079
Report Date: 03/21/2024
Date Signed: 03/21/2024 12:06:49 PM

Document Has Been Signed on 03/21/2024 12:06 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:
376105079
ADMINISTRATOR:NICOLLE DANIELSFACILITY TYPE:
830
ADDRESS:217 EARLHAM STREETTELEPHONE:
(760) 440-0014
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
03/21/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Nicolle DanielsTIME COMPLETED:
12:25 PM
NARRATIVE
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On 3/21/24 Licensing Program Analysts (LPAs) Patrick Ma and Nancy Diaz 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 12 infants with 3 staff in the Infant room. Facility is within ratio and capacity.

Director was advised Preventative Plan Addendum (per NCC plan) and staff verification of training (per NCC plan) were originally due on 12/1/22, extended on multiple occasions and last provided due date of 12/3/23. Director was advised to submit immediately. 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. Director stated no training proof is on file.

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 was last provided a due date of 2/28/23 and now must be submitted immediately.

1 Type B deficiency was observed and cited on LIC 809D during today's visit, a civil penalty was also assessed for repeat violation of 1596.7995(a)(1).

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: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2024
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 03/21/2024 12:06 PM - It Cannot Be Edited


Created By: Patrick Ma On 03/21/2024 at 10:55 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: 03/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/21/2024
Section Cited
HSC
1596.7995(a)(1)

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ยง1596.7995(a) (1) a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. This requirement was not met as evidenced by:
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Director stated she will submit proof of completed staff S1 immunizations to the Department by 4/21/24.
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Based on records review, staff S1 was missing immunizations for MMR which poses/posed a potential health, safety or personal rights risk to 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: 03/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2024


LIC809 (FAS) - (06/04)
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