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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700329
Report Date: 06/07/2023
Date Signed: 06/07/2023 05:03:17 PM

Document Has Been Signed on 06/07/2023 05:03 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:SAY-EINSTEIN EXTENDED DAY PROGRAMFACILITY NUMBER:
376700329
ADMINISTRATOR:GRAY ANNE MATUNDANFACILITY TYPE:
840
ADDRESS:3035 ASH STREETTELEPHONE:
(858) 380-8726
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY: 98TOTAL ENROLLED CHILDREN: 36CENSUS: 30DATE:
06/07/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Sandra SandovalTIME COMPLETED:
05:10 PM
NARRATIVE
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On 06/07/2023 at 01:45pm, Licensing Program Analyst (LPA), David Miller and Licensing Program Manager (LPM) Tulam Vu conducted an unannounced required 1 year inspection and met with teacher Sandra Sandoval. LPA disclosed the purpose of the inspection and was led on a tour of the facility. Also present were two teachers, Miguel Meza and Alajandra Cantabrana, and teacher's aide, Karelly Rojas. There were three teachers and one aide and 30 children present during today's inspection in the Multipurpose Room, and no children were observed in Bungalow 35, Days and hours of operation are MTuThFr 2:30pm to 6pm, and Wednesday 12pm to 6pm. Senior Program Director, Iris Stone, arrived during the inspection at 02:45pm

Children play on the blacktop and grass area located south of the multipurpose room. Furniture and equipment are in good condition. Playground equipment is in safe condition. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Toilet and hand-washing equipment are in safe and sanitary operating condition. Floors in the facility are clean and safe. Drinking water is available both indoors and outdoors via drinking fountains in the multipurpose room and outdoor by the bathrooms. Facility has a functioning carbon monoxide detector. The last disaster drill was conducted and documented 04/03/2022. Senior Program Director stated there are no bodies of water on the premises and LPA did not observe any bodies of water. Senior Program Director stated there are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, and other hazardous items are made inaccessible in the office room. Senior Program Director stated that no medications are being administered at this time. Staff have fingerprint and background clearances. Senior Program Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2023
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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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: SAY-EINSTEIN EXTENDED DAY PROGRAM
FACILITY NUMBER: 376700329
VISIT DATE: 06/07/2023
NARRATIVE
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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.

Menus for snacks were posted. Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility. LPA reviewed children sign-in/sign-out sheet with full legal signature and time of day. Children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 14 children. LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. LPA reviewed staff files and observed that three out of four staff did not have an updated mandated reporter training. Discussed with staff that children must be under visual supervision and visual at all times.

This facility does not provide Incidental Medical Services (IMS) at this time. No medications were observed on site. 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. Director stated no children enrolled require medication at this time. LPA and director discussed the Community Care Licensing website www.ccld.ca.gov and California Megan’s Law (www.meganslaw.ca.gov). No deficiencies were cited during today's inspection.

Exit interview conducted with Senior Program Director, Iris Stone. Notice of Site Visit is provided and required to be posted for 30 days. LPA observed form 9213 posted on the parents' bulletin board. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/07/2023 05:03 PM - It Cannot Be Edited


Created By: David Miller On 06/07/2023 at 03:43 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: SAY-EINSTEIN EXTENDED DAY PROGRAM
FACILITY NUMBER: 376700329

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101174(d)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, and record review, the licensee did not comply with the section cited above in that the last fire drill was conducted 04/03/2022, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/23/2023
Plan of Correction
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Senior Program Director Stone stated that proof of completing a disaster drill and a written plan of correction will be submitted to San Diego Regional Office by 06/23/2023
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above in that three out of four staff did not have an updated Mandated Reporter Certificate which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/07/2023
Plan of Correction
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Senior Program Director Stone stated that updated mandated reporter certificates and a written plan of correction will be submitted to San Diego Regional Office by 07/07/2023
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:Tulam Vu
LICENSING EVALUATOR NAME:David Miller
LICENSING EVALUATOR SIGNATURE:
DATE: 06/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/07/2023


LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 06/07/2023 05:03 PM - It Cannot Be Edited


Created By: David Miller On 06/07/2023 at 03:44 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: SAY-EINSTEIN EXTENDED DAY PROGRAM
FACILITY NUMBER: 376700329

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101212(b)

101212 (b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in that the new Director documents have not been submitted to the department which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/23/2023
Plan of Correction
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Senior Program Director Stone stated that complete documents for the new Director will be submitted to the San Diego Regional Office by 06/23/2023.
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:Tulam Vu
LICENSING EVALUATOR NAME:David Miller
LICENSING EVALUATOR SIGNATURE:
DATE: 06/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/07/2023


LIC809 (FAS) - (06/04)
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