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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700039
Report Date: 07/23/2021
Date Signed: 07/23/2021 11:52:17 AM

Document Has Been Signed on 07/23/2021 11:52 AM - 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:SKILLS LEARNING CENTERFACILITY NUMBER:
376700039
ADMINISTRATOR:LYNDSAY FERRISFACILITY TYPE:
850
ADDRESS:13942 CHANCELLOR WAYTELEPHONE:
(858) 699-6007
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY: 28TOTAL ENROLLED CHILDREN: 0CENSUS: 26DATE:
07/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:12 AM
MET WITH:Lyndsay FerrisTIME COMPLETED:
12:10 PM
NARRATIVE
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On 7/23/21 @ 10:12AM, LPA Nancy Diaz conducted an unannounced inspection. LPA met with Lyndsay Ferris, site director/owner. Observed present today were 26 children. Staff present today were: Bobby Ferris and Maribel Refugio. A tour of the facility was conducted. There are two classrooms.
A review of staff records on this date 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.

A body of water was observed within the premises with appropriate fencing and inaccessible to children. Disinfectants, cleaning solutions and other items that are dangerous to children are inaccessible. Medications are kept in a safe place, inaccessible to children. 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 child care center 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 meet the standards established in Chapter 8 of Part 2 of Division 12.
CONTINUED...
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 07/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/23/2021
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: SKILLS LEARNING CENTER
FACILITY NUMBER: 376700039
VISIT DATE: 07/23/2021
NARRATIVE
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Playground equipment was observed to be in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space are maintained in safe condition and free of hazards.

Children were observed to be under the supervision of qualified staff. Facility was observed to be within ratio. An isolation area has been designated for children who becomes ill during the day.

Children’s records were reviewed today. All required forms were on file. Menu is posted in a place visible by the child’s authorized representative. All children are signed in/out by a representative who uses a full legal signature and has recorded the time of day. Child’s record also contain a medical assessment.

Staff records reviewed today contain a health screening as required by the regulation.
All staff have immunization record indicating that they have been immunized against influenza, pertussis and measles.

An exit interview was conducted with Mrs. Ferris. Appeal rights were provided. Notice of Site Visit was observed posted. Notice of site visit shall remain posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2021
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/23/2021 11:52 AM - It Cannot Be Edited


Created By: Nancy Diaz On 07/23/2021 at 11:03 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: SKILLS LEARNING CENTER
FACILITY NUMBER: 376700039

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/06/2021
Section Cited
HSC
1596.8662(4)(b)(1)

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On or before March 30, 2018...licensed day care provider...shall complete the mandated reporter training..and shall complete renewal training every 2 years...
This requirement was not met as evidenced by:
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Mrs. Ferris shall ensure that all staff update their Mandated Reporter Training no later than 8/6/2021. Mrs. Ferris shall submit copies of Mandated Reporter Training to the Department no later than 8/6/2021.
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Based on LPA's file review, it was determined that all staff (including site director) have expired Mandated Reporter Training. Certificates on file indicated that the Mandated Reporter Training expired 10/2020.
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Type B
08/06/2021
Section Cited
CCR101239.1(c)(1)

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NAPPING EQUIPMENT. Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding.
This requirement was not met as evidenced by:
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Mrs. Ferris stated that she will remove the pile of children's beddings and store them individually so that the beddings are not touching one another.
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Based on LPA's observation, children's beddings were stored in one pile, each child's bedding touching another child's beddings.
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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:Tashima Daniel
LICENSING EVALUATOR NAME:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 07/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/23/2021


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/23/2021 11:52 AM - It Cannot Be Edited


Created By: Nancy Diaz On 07/23/2021 at 11:12 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: SKILLS LEARNING CENTER
FACILITY NUMBER: 376700039

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/06/2021
Section Cited
CCR
101226(e)(5)

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HEALTH RELATED SERVICES. The licensee shall develop and implement a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given.
This requirement was not met as evidenced by:
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Mrs. Ferris was provided an outline of IMS plan of operation today. She will submit an IMS plan of operation no later than 8/6/21.
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Based on LPA's review of children's files and medication storage, it was determined that the facility is maintaining an Epi-pen for a child in attendance. Facility do not have an IMS (Incidental Medical Services) Plan of Operation.
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Type B
08/06/2021
Section Cited
CCR101227

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FOOD SERVICES. Between meals, snacks shall be available for all children unless the food a child may eat is limited by dietary restrictions prescribed by a physician. Each snack shall include at least one serving from each of two or more of the four major food groups.
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Mrs. Ferris shall update her snack menu so that snacks served are from two food groups.
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This regulation was not met based on LPA's observation. Children were observed having a snack consisting of "vegetable straws" (chips). No other food was served. Menu posted indicated that snacks were served from only one food group.
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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:Tashima Daniel
LICENSING EVALUATOR NAME:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 07/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/23/2021


LIC809 (FAS) - (06/04)
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