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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700052
Report Date: 01/26/2024
Date Signed: 01/29/2024 08:47:43 AM


Document Has Been Signed on 01/29/2024 08:47 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:FAITH TROLLEY PRESCHOOLFACILITY NUMBER:
376700052
ADMINISTRATOR:KARIN TURNERFACILITY TYPE:
850
ADDRESS:9971 MISSION GORGE ROADTELEPHONE:
(619) 596-0390
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:72CENSUS: 66DATE:
01/26/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Karin Turner TIME COMPLETED:
01:40 PM
NARRATIVE
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On 1/26/24 at 11:30 AM Licensing Program Analyst (LPA), Gerald Poindexter conducted an unannounced visit to follow up on a self-reported incident that occurred on 1/5/24 wherein a child (C1) was left outside at the facility’s playground unattended by staff. LPA was received at the facility by Alex Weddle, who called director Karin Turner via telephone to return to the facility. Ms. Weddle directed the LPA the outdoor play area. LPA met with Ms. Turner who arrived at approximately 11:50 am.

During the visit the LPA toured the facility play area and discussed details of the incident and the written statements -- which were voluntarily submitted to the department -- from Ms. Turner and staff members S1 and S2. LPA also reviewed staff files, as well as the facility’s follow-up activities to the incident and its corrective actions to prevent future incidents of this type.

See 809D for deficiencies cited.

Exit interview conducted with the director Karin Turner.

Notice of site visit was given, and it must remain posted for 30 days.

SUPERVISOR'S NAME: Joelle ReddingTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Gerald PoindexterTELEPHONE: 619-767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2024
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


Document Has Been Signed on 01/29/2024 08:47 AM - It Cannot Be Edited

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: FAITH TROLLEY PRESCHOOL
FACILITY NUMBER: 376700052

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/26/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision: (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time…Supervision shall include visual observation. This requirement was not met as evidenced by:
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The director states that she will conduct a meeting to discuss playground transition procedures. The director states that she will send a copy of the meeting agenda, written transition procedures, and staff sign in sheet to LPA via email by 2/9/24.
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Based on LPA interview and review of written statements by staff, the licensee did not comply with the section cited above, in that C1 was left alone, unsupervised, outside at the facility’s playground. This poses a potential health, safety, or personal rights risk to children in care.
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Type B
01/26/2024
Section Cited
HSC1596.7995(a)(1)

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Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement was not met as evidenced by:
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Director stated that employee was in progress with providing the required immunizations. She will submit proof of all missing required immunization or provide proof of medical appointment via email by POC date of 2/9/24.
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Based on record review, staff S2 was missing proof of immunizations for TB and MMR which poses a potential health and safety risk to children in care.
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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: Joelle ReddingTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Gerald PoindexterTELEPHONE: 619-767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2024
LIC809 (FAS) - (06/04)
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