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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700393
Report Date: 03/04/2025
Date Signed: 03/04/2025 03:42:13 PM

Document Has Been Signed on 03/04/2025 03:42 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:LINDA VISTA STATE PRESCHOOLFACILITY NUMBER:
376700393
ADMINISTRATOR/
DIRECTOR:		MIRIAM ATLASFACILITY TYPE:
850
ADDRESS:2772 ULRIC STREETTELEPHONE:
(858) 800-5450
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY: 24TOTAL ENROLLED CHILDREN: 0CENSUS: 16DATE:
03/04/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:55 PM
MET WITH:Miriam Atlas and Deleshea O'NealTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On 3/04/2025 at 12:55 PM, Licensing Program Analysts (LPAs) Adriana Macias and Nancy Diaz conducted an unannounced case management inspection to follow up on a self-reported unusual incident. Incident took place 2/05/2025 at approximately 3:15 PM and Incident Report was submitted to licensing on 2/07/2025 via phone. Upon arrival, LPAs met with Director Miriam Atlas and toured the facility. LPA observed the following census at the facility:

Building 100-Room 5 with 16 children, and 5 teachers.

LPA observed appropriate ratio, capacity and supervision during the inspection. Incident reported involved a child left unattended for an undetermined amount of time outside the school gate. During the inspection, LPA interviewed Director and three staff members and also attempted to interview the child who was involved during the incident. The child was uncooperative and easily distracted therefore LPAs failed to have a conversation with the child. LPAs observed the area where the incident occurred, and child passed through a playground small gate and a second large gate that leads to a busy street in front of the school. Due to staff lack of supervision, it was determined that the child had accidentally wandered off outside the school alone and could have been in immediate danger. Director stated that child could have followed a different family during pick up.

LPAs Adriana Macias and Nancy Diaz informed facility representative Miriam Atlas that this report dated 3/04/25 documents 1 Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Adriana Macias
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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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Document Has Been Signed on 03/04/2025 03:42 PM - It Cannot Be Edited


Created By: Adriana Macias On 03/04/2025 at 01:54 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: LINDA VISTA STATE PRESCHOOL
FACILITY NUMBER: 376700393

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/11/2025
Section Cited
CCR
101229

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RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION
The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time...
This requirement was not met as evidenced by:
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School principal stated she met with staff and reinforced the " 1 student 1 parent " at the door during pick up. Director stated that parents were also notified of this policy. Director also stated that teachers updated sublesson plans for children with IEPs for awareness of children's behaviors.
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Based on interviews with staff and self reported unusual incident, it was determined that a 4 year old child was found outside of elementary school premises approximately 67 yrds passed the school gates, without visual supervison from staff. This occured at pick up time while the main street where the child was found, was busy with traffic. This poses an immediate risk to the health, safety and personal rights of child 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:Tashima Daniel
LICENSING EVALUATOR NAME:Adriana Macias
LICENSING EVALUATOR SIGNATURE:
DATE: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/04/2025


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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: LINDA VISTA STATE PRESCHOOL
FACILITY NUMBER: 376700393
VISIT DATE: 03/04/2025
NARRATIVE
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Also, LPAs Adriana Macias and Nancy Diaz informed the facility representative to provide a copy of this licensing report dated 3/04/25 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Pursuant to Title 22 of the CA Code of Regulations, the following Type A and Type B deficiencies were cited (refer to LIC 809-D).

Exit interview conducted and report was reviewed with facility representative Deleshea O'Neal. A notice of site visit was provided and must remain posted for 30 days.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Adriana Macias
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 03/04/2025 03:42 PM - It Cannot Be Edited


Created By: Adriana Macias On 03/04/2025 at 03:29 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: LINDA VISTA STATE PRESCHOOL
FACILITY NUMBER: 376700393

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/04/2025
Section Cited
CCR
101212

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REPORTING REQUIREMENTS
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day....This requirement was not met as evidenced by:
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Deleshea O'Neal acknowledges that all ususual incidents must be reporter to the department via telephone or fax within 24 hours, and a written report within 7 days.
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Based on interview and documentation provided, facility failed to report an unusual incident to the department within 24 hrs via telephone. Incident ocurred on 2/05/25 and reported via phone on 2/07/25. This deficiency posed a potential risk to the health, safety and personal rights of 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:Tashima Daniel
LICENSING EVALUATOR NAME:Adriana Macias
LICENSING EVALUATOR SIGNATURE:
DATE: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/04/2025


LIC809 (FAS) - (06/04)
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