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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105174
Report Date: 07/10/2025
Date Signed: 07/10/2025 01:32:21 PM

Document Has Been Signed on 07/10/2025 01:32 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:GETHSEMANE CHRISTIAN PRESCHOOLFACILITY NUMBER:
376105174
ADMINISTRATOR/
DIRECTOR:
VICKI L. COFFEEFACILITY TYPE:
860
ADDRESS:2696 MELBOURNE DRIVETELEPHONE:
(858) 277-7710
CITY:SAN DIEGOSTATE: CAZIP CODE:
92123
CAPACITY: 56TOTAL ENROLLED CHILDREN: 42CENSUS: 42DATE:
07/10/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Vicki CoffeeTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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On 7/10/25, Licensing Program Manager (LPM) Keturah Lane conducted an unannounced case management inspection at Director's request. Director requested to split the preschool playground into two sections by a three-feet rod-iron fence, creating an additional fenced playground for the school-age children. Upon arrival, LPM Lane met with Director Vicki Coffee and toured the facility. LPM observed a total of 42 children with 5 staff members (including Director) in 4 classrooms. LPA observed appropriate capacity, ratios and supervision. All staff were fingerprint cleared and associated. Total capacity of the center is 12 school-age children and 44 preschool children.

During this visit, LPM discussed with Director where the new fencing will be installed to create the additional school-age playground. The school-age children will be using the space closest to the building which measures approximately 2,500 square feet which is sufficient for the requested capacity of 12 school-age children. There is a locked storage shed on the playground that measures a total square footage of 250 square feet that is located about half-way between the dividing line of the preschool and school-age playgrounds that was deducted from the measurements.

The facility also has an additional, separate school-age playground that was measured on 5/13/24, which will be used as a garden area for outdoor activities once fence installation is complete. The garden area can be used by either the preschool or school-age for outdoor activities. Director understands there is to be no commingling between preschool and school-age children at any time. The facility also has a separate playground for the 2 year old children. There were no changes to either of these playgrounds. There will now be four licensed playgrounds: garden area, 2 year-old playground, school-age playground and preschool playground. The remaining area of the larger preschool playground is sufficient for the remaining capacity of 44 children. (continued on LIC809-C...)
NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Keturah Lane
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/10/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: GETHSEMANE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 376105174
VISIT DATE: 07/10/2025
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LPA approved the fence installation and advised Director to notify licensing when it has been completed, so a more accurate measurement can be conducted by LPA for the facility file. Director stated the fence installation should take a couple of weeks.

Exit interview conducted and report was reviewed with facility representative Director Vicki Coffee. Notice of site visit was provided and must be posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Keturah Lane
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2025
LIC809 (FAS) - (06/04)
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