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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700687
Report Date: 12/07/2023
Date Signed: 12/07/2023 02:22:32 PM

Document Has Been Signed on 12/07/2023 02:22 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:YALE PRESCHOOL - HILL CREEKFACILITY NUMBER:
376700687
ADMINISTRATOR:DIANE MURRAYFACILITY TYPE:
850
ADDRESS:9665 JEREMY STREETTELEPHONE:
(619) 956-5057
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY: 58TOTAL ENROLLED CHILDREN: 16CENSUS: 14DATE:
12/07/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Kaylene Shake and Dori HolmTIME COMPLETED:
02:35 PM
NARRATIVE
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On 12/7/23 at 9:10 am, Licensing Program Analyst (LPA), Gerald Poindexter met with Kaylene Shake, site director and Dori Holm, site lead for the purpose of an unannounced annual inspection. There were 14 children present with three staff -- Dori Holm, Krystle Ashcraft, and Angela Richter, in two rooms – C27 and C28. Facility is within ratio and capacity.

LPA toured the facility. The rooms were clean, orderly and a comfortable temperature during this visit. Adequate ventilation and heating are available. The furniture, books, games, and toys are safe, age-appropriate and in good repair. There are a variety of activities available throughout the day. All required forms were posted. All storage containers and trash containing solid waste have tight fitting lids and are in good repair. Floors appear to be clean and safe. Drinking water is readily accessible. Hand washing and toileting areas are in a safe, sanitary, and operating condition. Paper towels and toilet paper are available. Bathroom is lighted and has ventilation. Any wastewater used to clean is being discarded after use. Medications are kept in room C27, locked, inaccessible to children, and properly labeled with child name, as well as with instructions and expiration dates.

Breakfast and lunch menus are posted. Adequate food is available for meals. Cleaning supplies are kept separate from food and are inaccessible to children. Storage areas for poisons are locked. Site director stated there are no firearms or other weapons on the premises. All foods/beverages capable of rapid spoiling are stored in covered containers at 45 F or less. The facility appears to be free of insects and rodents. Napping equipment is sufficient for each child, bedding is stored separately, and mats/cots are disinfected after use. Facility has ensured that there is adequate space between mats/cots for easy passage and they are not blocking entrances or exits. There are two operational carbon monoxide detectors at the facility.

CONTINUED ON PAGE 2

SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: YALE PRESCHOOL - HILL CREEK
FACILITY NUMBER: 376700687
VISIT DATE: 12/07/2023
NARRATIVE
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Outdoor play area is fully fenced with sufficient cushioning and adequate shade. Age-appropriate playground equipment and outdoor surfaces are in a safe condition with any equipment securely bolted to the ground. Portable water is used outdoors. There are no bodies of water, firearms, or ammunition on the property. The facility has a written disaster plan in place that meets regulatory requirement and has been conducting and documenting emergency drills every six months with most recent 9/21/23. The facility does not transport children.

LPA reviewed manually sign in/out sheets, as well as a sample of personnel records and a sample of children's records. There is at least one staff present with current CPR and First Aid certification. Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com.



Children are evaluated upon entry and monitored throughout the day for signs of illness. The isolation area for ill children awaiting pick up is the Site Lead’s Office in Room C27.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

The facility has completed lead exceedances testing. LPA referred site director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

CONTINUED ON PAGE 3
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
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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: YALE PRESCHOOL - HILL CREEK
FACILITY NUMBER: 376700687
VISIT DATE: 12/07/2023
NARRATIVE
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See LIC 809D for deficiencies cited.

LPA conducted child care quality management interview with Dori Holm. Exit interview conducted and report was reviewed with the site director Kaylene Shake and site lead Dori Holm.



NOTICE OF SITE VISIT WAS GIVEN and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100..
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/07/2023 02:22 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 12/07/2023 at 01:17 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: YALE PRESCHOOL - HILL CREEK
FACILITY NUMBER: 376700687

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(g)(2)
Personnel Requirements
(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as four of four staff did not have a health screening in file and 4 of 4 staff files was incomplete which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/28/2023
Plan of Correction
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Site Coordinator states they will provide missing staff documents to LPA no later than close of business 12/28/23.
Type B
Section Cited
CCR
101216(l)(1)(B)
Personnel Requirements
(B) A copy of the signed LIC 9052 (11/94) shall be kept in the employee's personnel record.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as four of four staff did not have Employee Rights LIC9052 in file and 4 of 4 staff files was incomplete which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/28/2023
Plan of Correction
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Site Coordinator states they will provide missing staff documents to LPA no later than close of business 12/28/23.
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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2023


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Document Has Been Signed on 12/07/2023 02:22 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 12/07/2023 at 01:17 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: YALE PRESCHOOL - HILL CREEK
FACILITY NUMBER: 376700687

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101226(e)(3)(A)
Health-Related Services
(3) Prescription medications may be administered if all of the following conditions are met: (A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA's observations staff did not ensure that child #1's medication was current and not expired. Expiration date: 05/2023. This poses a potential health and safety risk to children in care.
POC Due Date: 12/28/2023
Plan of Correction
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The site lead has contacted child 1' s parents who stated they will provide current medication immediately. Site director will send LPA an image of new medication with expiration date via email. Site director will also provide a statement of her plan for monitoring expired medication dates via email by 12/28/23.
Type B
Section Cited
HSC
101216.1(b)
(b) Prior to employment, a teacher shall meet the requirements of (b)(1) or (b)(2) below:
(1) A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below, or shall have obtained a Child Development Assistance Permit issued by the California Commission on Teacher Credentialing. This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA observation and record review, the facility did not have complete education requirements available on file for one of four staff. Angela Richter’s full credentials were not available at the time of inspection.
POC Due Date: 12/28/2023
Plan of Correction
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The site director, Kaylene Shake, said that they will submit proof of complete file to the department no later than 12/28/23 via email to LPA or other delivery method.
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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2023


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