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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700424
Report Date: 06/16/2021
Date Signed: 06/16/2021 10:44:34 AM

Document Has Been Signed on 06/16/2021 10:44 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SCRIPPS EXPLORING ACADEMYFACILITY NUMBER:
376700424
ADMINISTRATOR:CHRISTINE COLLINSFACILITY TYPE:
850
ADDRESS:9855 ERMA ROAD, SUITE 128TELEPHONE:
(858) 693-3702
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY: 166TOTAL ENROLLED CHILDREN: 0CENSUS: 130DATE:
06/16/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Christine CollinsTIME COMPLETED:
10:45 AM
NARRATIVE
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On June 16, 2021 at 9:45 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced inspection. Upon arrival LPA met with Director Christine Collins and proceeded to tour the facility. There were 130 children present with 19 staff members. Appropriate ratios were observed. Staff members have the required background clearances. Staff #1 and Staff#2 were supervising 9 children in the Seahorse Classroom. Staff #1 (S1) is fingerprint cleared and associated to the infant license, facility #376700425 but not associated to this license, facility #376700424. Staff #2 (S2) is fingerprint cleared and associated to the facility. The director states that S1 was covering for a Seahorse Classroom teacher who called out today.

See LIC809D for cited deficiency

An exit interview was conducted with the director. Appeal Rights (LIC 9058 1/16) were discussed. A printed copy of this report as well as a printed copy of the appeal rights were provided and reviewed with the director at the conclusion of the inspection. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the director post notice of site visit.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE: DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/16/2021
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 06/16/2021 10:44 AM - It Cannot Be Edited


Created By: Grace Curtis On 06/16/2021 at 09:59 AM
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: SCRIPPS EXPLORING ACADEMY
FACILITY NUMBER: 376700424

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/17/2021
Section Cited
CCR
101170(e)(2)

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Criminal Record Clearance: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f)...This requirement was not met as evidenced by:
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At the time of inspection the director faxed over the LIC9182, LIC508, California Drivers License, Duty Statement and DOJ Applicant Fingerprint Response Letter to the Regional Office. The director understands that all staff members must be fingerprint cleared and associated to the facility prior to working in the facility.
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Based on LPA's record review and observation staff #1 is fingerprint cleared but not associated to the facility. This 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:Tashima Daniel
LICENSING EVALUATOR NAME:Grace Curtis
LICENSING EVALUATOR SIGNATURE:
DATE: 06/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/16/2021


LIC809 (FAS) - (06/04)
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