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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600031
Report Date: 09/14/2023
Date Signed: 09/14/2023 03:15:25 PM


Document Has Been Signed on 09/14/2023 03:15 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:CARMEL VALLEY PRESCHOOLFACILITY NUMBER:
376600031
ADMINISTRATOR:HOLLY SMITHFACILITY TYPE:
850
ADDRESS:13340 HAYFORD WAYTELEPHONE:
(858) 481-7933
CITY:SAN DIEGOSTATE: CAZIP CODE:
92130
CAPACITY:125CENSUS: 50DATE:
09/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director, Holly SmithTIME COMPLETED:
03:30 PM
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LPA (Licensing Program Analyst) Saraliz Velando, conducted an unannounced annual inspection. LPA disclosed the purpose of the inspection and was granted entry by Director Holly Smith and Assistant Director Sheena Casora. LPA toured the facility with Sheena and observed 50 children and 9 staff. There are 11 classrooms designated for preschool use.

A review of staff records today indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. The licensee has not exceeded the conditions, limitations and capacity specified on the license. All staff is certified in CPR and Pediatric First aid and Mandated Reporter training and have current proof in their files.

Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible by locked and safety latched cabinets. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All toilets, handwashing facilities are in safe and sanitary operating condition. All floors are clean and safe. The facility was observed to be clean, safe, sanitary and in good repair to ensure the safety and well-being of children, employees, and visitors. Facility maintains a carbon monoxide detector that meets regulations.

Children are provided a morning snack and bring their own lunch and afternoon snack. Facility has emergency snacks and bottled water on hand, stored appropriately and meeting nutritional requirements. The surface of the outdoor activity space is maintained in safe condition and free of hazards. The areas around or under high climbing equipment, slides, and similar equipment was cushioned with material that absorbs a fall. Children were observed to be under the supervision of fully qualified staff. Facility was observed to be within ratio. An isolation area has been designated for children who become ill during the day which is located by the director’s office.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2230
LICENSING EVALUATOR NAME: Saraliz VelandoTELEPHONE: 619-767-2221
LICENSING EVALUATOR SIGNATURE:
DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


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: CARMEL VALLEY PRESCHOOL
FACILITY NUMBER: 376600031
VISIT DATE: 09/14/2023
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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPAs discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and
administrative records.
For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

No deficiencies were issued today.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Holly Smith.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2230
LICENSING EVALUATOR NAME: Saraliz VelandoTELEPHONE: 619-767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
LIC809 (FAS) - (06/04)
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