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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600283
Report Date: 06/06/2023
Date Signed: 06/06/2023 04:11:11 PM

Document Has Been Signed on 06/06/2023 04:11 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:ST. PAUL'S COMMUNITY CARE CENTERFACILITY NUMBER:
376600283
ADMINISTRATOR:RUTH CORRALFACILITY TYPE:
850
ADDRESS:328 MAPLE STREETTELEPHONE:
(619) 239-6900
CITY:SAN DIEGOSTATE: CAZIP CODE:
92103
CAPACITY: 54TOTAL ENROLLED CHILDREN: 25CENSUS: 24DATE:
06/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Director Vanessa GarciaTIME COMPLETED:
04:15 PM
NARRATIVE
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On 06/06/2023 at 12;30PM, Licensing Program Analysts (LPAs) Luigi Gargaro and Cindy Meier conducted an unannounced annual inspection. Upon arrival, LPAs met with Director Vanessa Garcia and proceeded to tour the facility together. The following ratios were observed: The Hornet classroom had 13 children supervised by A+ substitute teacher Laura Beltran and teacher Patricia Santos (Rice); The Roly Poly classroom had 11 children supervised by teacher Michelle Yoshida (Leon Burrola). Facility was within staffing ratio during LPAs' tour. All staff members have the required background clearances and are associated to the facility

All required notices, forms and license(s) were posted. Furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation and drinking water. Storage cubbies are readily available, and room accommodates class size. Napping equipment consists of mats which are kept in the classrooms and each mat has its own sheet or covering. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Paper towels and toilet paper are available. Bathroom is lighted and has ventilation. Facility provides the children’s snacks from their on campus Senior Program's kitchen while children bring their own lunches from home that staff serves. A snack menu is posted. Adequate food is available for meals and snacks.

Outdoor play area is a fenced playground with sufficient protective cushioning. Climbing structures and slides are securely fixed to the ground. Yard uses umbrellaed tables as shade areas for children. Equipment is age appropriate for preschool children. Children have drinking water provided in their own individual water bottles they bring from home and can be refilled at the facility. Grounds are free of debris or potential hazards. LPA reviewed sign in sheets and medication policy and storage. Isolation area is the Director's office. Personnel and client records were reviewed and staff members have completed the online mandated child abuse training.

All personnel have required criminal record and child abuse index clearances or exemptions. LPA reviewed Emergency Disaster Plan and last fire drill was conducted on 04/25/23. Facility has an operating carbon monoxide detector located outside the Hornet classroom. Facility has at least one staff member that has a valid EMSA approved CPR/FA certificate when children are in care.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2023
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 06/06/2023 04:11 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 06/06/2023 at 02:33 PM
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: ST. PAUL'S COMMUNITY CARE CENTER
FACILITY NUMBER: 376600283

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/06/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(d)
Personnel Records
(d) All personnel records shall be maintained at the child care center and shall be available to the licensing agency for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the facility did not comply with the section cited above as several files were missing required licensing documents including proof of immunizations, health screening, employee rights and personnel record which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 06/13/2023
Plan of Correction
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Director stated that digital copies of these documents are kept at off site HR office and could not be accessed during today's visit. Director stated that she will obtain copies of missing documents and send them to analyst by 06/13/23 to complete the correction. Director states she will ensure she has future access to the files.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Jason Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 06/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/06/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/06/2023 04:11 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 06/06/2023 at 02:57 PM
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: ST. PAUL'S COMMUNITY CARE CENTER
FACILITY NUMBER: 376600283

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/06/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101226(e)(6)
When no longer needed by the child, or when the child withdraws from the center, all medications shall be returned to the child's authorized representative or disposed of...

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the facility did not comply with the section cited above as medication that was no longer needed by child in care, and was expired, was still in facility medicine storage which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 06/06/2023
Plan of Correction
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Deficiency was corrected when director removed the medication to return to the parent. Director states she will develop procedures for monthly reveiw and inspection of medication to ensure medication that is no longer needed does not remain in the facility in the future. Parent also sent e-mail stating medication was no longer needed.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Jason Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 06/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/06/2023


LIC809 (FAS) - (06/04)
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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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ST. PAUL'S COMMUNITY CARE CENTER
FACILITY NUMBER: 376600283
VISIT DATE: 06/06/2023
NARRATIVE
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This facility provides Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Licensee representative was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. The ABC’S of Safe Sleep: Sleep is Safest: Alone, on their Back in an empty Crib on a firm mattress.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at https://cdss.ca.gov/inforesources/community-care-licensing/subscribe. LPA discussed California Megan's Law with provider and advised her to go on the website at www.meganslaw.ca.gov.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA 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 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.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
LIC809 (FAS) - (06/04)
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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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ST. PAUL'S COMMUNITY CARE CENTER
FACILITY NUMBER: 376600283
VISIT DATE: 06/06/2023
NARRATIVE
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All unusual incident reports shall be submitted to Licensing office via email at SDIncidentReports@dss.ca.gov or via fax at (619)767-2203.

See LIC809D for citation issued.

A notice of site visit was provided and to be posted at the facility for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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