376700389-3-17-2025-20-CC-LGAO-DEUT5Q-20250317142555

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700389
Report Date: 03/17/2025
Date Signed: 03/17/2025 02:26:13 PM

Document Has Been Signed on 03/17/2025 02:26 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:	ROSA PARKS STATE PRESCHOOL		FACILITY NUMBER:	376700389
ADMINISTRATOR/ DIRECTOR:	VERONICA LOPEZ-MENDEZ		FACILITY TYPE:	850
ADDRESS:	4510 LANDIS STREET		TELEPHONE:	(619) 282-6803
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92105
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 22	DATE:	03/17/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:00 AM
MET WITH:	Lead Teacher Holly Houston		TIME VISIT/ INSPECTION COMPLETED:	02:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 03/17/25 at 10:00AM, Licensing Program Analyst (LPA) Luigi Gargaro, conducted an unannounced annual inspection and met with facility lead teacher, Holly Houston. LPA disclosed the purpose of the inspection and toured the facility indoors and outdoors. This is a half day program which operates on a traditional school year schedule. Days and hours of operation are Monday-Friday 7:30AM-10:30AM for the morning session and 11:05AM to 2:05PM for the afternoon session. There is currently one classroom in operation. The following ratios were observed: Classroom #2 (serves children age 2 through 5 years): There were 22 children present with five staff members including the two co-lead teachers, Holly Houston and Susana Miera and aides Celeste Cook, Alexis Figueroa and Rebecca Salgado in the AM session with 18 children present with the same staff except for afternoon aide Carmen Mallone substituting for aide Salgado. Two college student volunteers, Alyssa Chuor and Hannah Gayer were also present. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All toilets and handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. Food is prepared in the school cafeteria and delivered to the classroom during meal/snack times. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors with the use of a large water liter container from where it is dispensed into drinking cups or personal water bottles. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility has a functioning carbon monoxide detector that meets statutory requirements.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

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 4

Document Has Been Signed on 03/17/2025 02:26 PM - It Cannot Be Edited

Created By: Luigi Gargaro On 03/17/2025 at 12:49 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: ROSA PARKS STATE PRESCHOOL	FACILITY NUMBER: 376700389
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/17/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

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
1 2 3 4	Based on analyst record review, the facility did not comply with the section cited above as staff members #3 and #5 did not have current mandated reporter certifications which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 04/21/2025
	Plan of Correction
1 2 3 4	Teacher states that both staff members will complete the on-line Mandated Reporter Training class and submit a copy of the certificate of completion to analyst by 04/21/25 to correct the deficiency.

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) 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 is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on analyst record review, the facility did not comply with the section cited above as staff member #2 did not have documented proof of a required MMR vaccination which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 04/21/2025
	Plan of Correction
1 2 3 4	Teacher states that staff member will obtain a copy of her MMR vaccination record or obtain other documentation demonstrating proof of that or obtain the required vaccination and then send copy of the confirming record to analyst by 04/21/25 to correct the deficiency.

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: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: ROSA PARKS STATE PRESCHOOL	FACILITY NUMBER: 376700389
	VISIT DATE: 03/17/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

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. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. Capacity and limitations as specified on the license are being maintained. The facility has at least one person trained in pediatric CPR and First Aid present in the facility at all times. The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. All children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children in care.

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. LPA reviewed a sample of staff files and observed files were incomplete, missing immunization records for measles, mumps and rubella vaccine for one staff member and current documentation of completed mandated reporter training for two staff members. Menus are posted at least one week in advance where an authorized representative can view them.

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.

School principal Christina Prado was unable to meet with analyst so the report was reviewed with teacher Ms. Miera with whom analyst discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, California Megan’s Law (www.meganslaw.ca.gov), Lead Poisoning Facts, Forms and Regulations.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: ROSA PARKS STATE PRESCHOOL	FACILITY NUMBER: 376700389
	VISIT DATE: 03/17/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following two type B deficiencies are being cited: (see next page, 809 D) An exit interview was conducted with Ms. Miera and she was provided a copy of their appeal rights (LIC 9058).

Facility had proof of copy of Designation of Facility Responsibility form (LIC 309) demonstrating Ms. Prado is the current director but Licensing never received copy of change of director packet to complete change. Analyst requested that Principal Prado submit a copy of the change of director packet to regional office within 30 days so that the director for the facility may be properly updated.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

LIC809 (FAS) - (06/04)

Page: 4 of 4