376600992-3-5-2025-20-CC-LGAO-DEH3TM-20250305173209

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376600992
Report Date: 03/05/2025
Date Signed: 03/05/2025 05:32:18 PM

Document Has Been Signed on 03/05/2025 05:32 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	NHA URBAN VILLAGE II HEAD START		FACILITY NUMBER:	376600992
ADMINISTRATOR/ DIRECTOR:	BRENDA PATTY		FACILITY TYPE:	850
ADDRESS:	4305 UNIVERSITY AVENUE STE 107		TELEPHONE:	(619) 284-5644
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92105
CAPACITY: 88	TOTAL ENROLLED CHILDREN: 88	CENSUS: 66	DATE:	03/05/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:45 AM
MET WITH:	Director Brenda Patty		TIME VISIT/ INSPECTION COMPLETED:	05:40 PM

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On 03/05/25 at 9:45AM, Licensing Program Analyst (LPA) Luigi Gargaro conducted an unannounced annual inspection. The facility is a full day program which operates Monday-Friday from 7:00AM-3:30PM. Upon arrival, LPA met with Director Brenda Patty and proceeded to tour the facility together. The following ratios were observed: Classroom 1 had 16 children under the supervision of teachers Martha Perez and Rosa Reynoso, associate teacher Joselyn Gonzalez and teacher assistant trainee Dalia Valderrama; Classroom 2 had 14 children under the supervision of teacher Rosaline Hennen, associate teachers Rosa Jimenez and Brittany Fabing and teacher assistant trainee Ruquiyo Khalif; Classroom 3 had 10 children under the supervision of teacher Lourdes Curiel, associate teacher Veronica Gutierrez, teacher assistant trainee Seyda Soeun and ABAT Leo Ayon; Classroom 4 had 18 children under the supervision of teacher Patricia Fitzgerald, associate teacher Maria Mata Camacho and teacher assistant trainee Carmen Martinez; and classroom 5, the toddler room, had seven children under the supervision of teacher Dionnia Sullivan and associate teacher Abigail Flores. Facility was within staffing ratio during LPA's tour. All staff members have the required background clearances and but not all were 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 rooms accommodates class size. Napping equipment consists of cots which are kept in the classrooms and each cot 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 breakfast, lunch and snacks to children that is prepared at the NHA central kitchen and warmed or refrigerated as required in the facility's kitchen before being served to children. A meal menu is posted. Adequate food is available for meals and snacks.

Outdoor play area is a fenced cement and turfed yard with a separate one for the preschool classes and for the toddler class. Both yards have a shade structure for children. Equipment is age appropriate for preschool and toddler children, respectively. Children have drinking water provided from classroom water dispensers and an outdoor container that is dispensed into individual plastic cups. 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 all staff members have completed the online mandated child abuse training.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025

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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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: NHA URBAN VILLAGE II HEAD START	FACILITY NUMBER: 376600992
	VISIT DATE: 03/05/2025

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Most personnel have required criminal record and child abuse index clearances or exemptions. LPA reviewed Emergency Disaster Plan and last fire drill was conducted 02/25/25 while last earthquake drill was conducted on 01/30/25. Facility has an operating carbon monoxide detector located in all the classrooms. Facility has at least one staff member that has a valid EMSA approved CPR/FA certificate when children are in care.

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. Analyst was able to review the medication and documentation for each respective child and found it to be in order.

Licensee representative was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care.

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.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025

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: NHA URBAN VILLAGE II HEAD START	FACILITY NUMBER: 376600992
	VISIT DATE: 03/05/2025

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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.

All unusual incident reports shall be submitted to Licensing office via email at SDIncidentReports@dss.ca.gov or via fax at (619)767-2203.

One type A violation was cited during today's visit (see related 809D citations page). Upon receipt of a type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

An exit interview was conducted with the facility director, Brenda Patty. The director was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

A notice of site visit was provided and is 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: 03/05/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/05/2025 05:32 PM - It Cannot Be Edited

Created By: Luigi Gargaro On 03/05/2025 at 04:44 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: NHA URBAN VILLAGE II HEAD START	FACILITY NUMBER: 376600992
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/05/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

HSC

1596.871(c)(1)(A)

Administration of Child Day Care Licensing

Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on analyst record review, the licensee did not comply with the section cited above as two staff members, staff member #4 and staff member #7, did not have their criminal record clearances transferred to the facility's administrative site which poses an immediate health, safety or personal rights risk to children in care.
	POC Due Date: 03/06/2025
	Plan of Correction
1 2 3 4	Both staff members have active clearances but are not associated to the facility. Director states she will transfer the clearances of the staff members to the facility's administrative site by 03/06/25 to complete the correction.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: 03/05/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025

LIC809 (FAS) - (06/04)

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