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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700389
Report Date: 12/06/2024
Date Signed: 12/06/2024 01:35:57 PM

Document Has Been Signed on 12/06/2024 01:35 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 PRESCHOOLFACILITY NUMBER:
376700389
ADMINISTRATOR/
DIRECTOR:		VERONICA LOPEZ-MENDEZFACILITY TYPE:
850
ADDRESS:4510 LANDIS STREETTELEPHONE:
(619) 282-6803
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: DATE:
12/06/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Assistant Principal Johana BielmaTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
NARRATIVE
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On 12/06/24 at 10:00AM, Licensing Program Analyst (LPA) Luigi Gargaro conducted a follow up case management visit regarding a self-reported 10/30/24 lack of supervision incident in which child #1 (C1) walked out of her preschool classroom (Room 3) and walked to the library without being observed by the classroom staff.

During the course of the incident investigation, analyst conducted interviews with classroom staff and the school librarian and administrator. Analyst also reviewed related documentation regarding the incident and reviewed area where eloping child walked after leaving classroom.

Based on information gathered, analyst determined that on day of incident staff members #1, #2, #3, #4 and #5 (S1, S2, S3, S4 and S5) were either in the classroom or immediately outside supervising a total of nineteen day care children. At the time of the incident, C1 managed to push open the back door of the classroom, escaping the notice of both the indoor and outdoor staffers. The classroom safety feature of a door chime that rings when the door is opened was not engaged at the time the child opened the door.

The incident appeared to have occurred when the three indoor staff members were engaged in activities with children in the classroom, the outdoor staff member was engaged with children conducting outdoor activities and a fifth staff member was in the school office. Not being seen exiting the classroom, C1 left the preschool classroom area and walked across the plaza to the main elementary school area before entering the elementary school library without being noticed as missing and passing potential hazards such as the school elevator, staircase and restrooms.

Once in the library, C1 was discovered by the librarian, after being there multiple minutes. The librarian determined the child was a preschooler and contacted the elementary school administrator who then contacted the preschool who, at the time, still were unaware the child was missing. C1 was witnessed as crying by staffers who found her until she was calmed down by them but otherwise suffered no injuries. It was determined that the child was without supervision for nearly seven minutes and that as many as twelve minutes passed before the classroom staff was made aware that the child had left the classroom.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2024
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: ROSA PARKS STATE PRESCHOOL
FACILITY NUMBER: 376700389
VISIT DATE: 12/06/2024
NARRATIVE
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A Type "A" violation was cited for a lack of supervision for the incident (see related 809D citation page). Appeal Rights (1/16) were discussed. 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. School principal and program administrator Christina Prado was not present during analyst's visit so today’s report was reviewed with and signed for by school assistant principal, Johana Bielma. A copy of the report, appeal rights and the notice of site visit, that is to be posted for 30 days, was provided to Ms. Bielma before analyst left the facility.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/06/2024 01:35 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 12/06/2024 at 12:32 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: 12/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/09/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a)(1) - The licensee shall provide care and supervision ...No child(ren) shall be left without the supervision of a teacher at any time...

The requirement was not met as evidenced by:
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Assistant principal Ms. Bielma states the facility will submit a written plan of correction detailing what steps have and will be implemented to prevent the situation from potentially recurring at the facility including any training that has been completed by the classroom staff. Plan will be submitted to analyst for review by 12/09/24.
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Based on interviews and record reviews, a lack of supervision occurred for Child #1 (C1) during a 10/30/24 self-reported incident at the facility when she left her classroom unnoticed and was gone for a reported twelve minutes before staff was made aware of her absence which posed an immediate Health and Safety risk to the child in care.
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The plan of correction does not exclude the Department from taking any additional action it may deem necessary regarding the incident.

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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:Jason Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 12/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/06/2024


LIC809 (FAS) - (06/04)
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