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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700951
Report Date: 07/20/2021
Date Signed: 07/20/2021 11:01:42 AM

Document Has Been Signed on 07/20/2021 11:01 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:LEGACY OF LEARNING CENTERFACILITY NUMBER:
376700951
ADMINISTRATOR:TINA GILMOREFACILITY TYPE:
850
ADDRESS:4848 SEMINOLE DRIVETELEPHONE:
(619) 764-5305
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY: 32TOTAL ENROLLED CHILDREN: 0CENSUS: 14DATE:
07/20/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:42 AM
MET WITH:Tina Gilmore-Administrator TIME COMPLETED:
11:00 AM
NARRATIVE
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On July 20, 2021 at 9:38 AM, Licensing Program Analysts (LPA's) LaKesha Edwards and Patricia Berry arrived at the facility to conduct a visit for a different purpose( Delivering Findings for a complaint investigation), however, during the visit at 9:42 AM, LPA Edwards toured the facility inside and out and observed (14) Preschool children on the playground with only 1 staff member putting the facility out of ratio. 20 minutes later, another staff member arrived at the facility putting the facility back within ratio.

See LIC 809-D for cited deficiency

Exit interview was conducted, appeal rights were issued and discussed, also a copy of this report was provided to the Licensee.








SUPERVISORS NAME: Dawn Parker
LICENSING EVALUATOR NAME: Lakesha Edwards
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2021
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 07/20/2021 11:01 AM - It Cannot Be Edited


Created By: Lakesha Edwards On 07/20/2021 at 10:31 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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: LEGACY OF LEARNING CENTER
FACILITY NUMBER: 376700951

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/20/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/20/2021
Section Cited
CCR
101216.3(a)

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101216.3(a) Teacher-Child Ratio
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance...

This requirement was not met as evidenced by:
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During the visit, another staff member arrived at the facility placing the facility back within ratio.

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Based on observations, when the LPA toured the facility, LPA observed 14 preschool children on the playground with only 1 teacher putting the facility out of ratio.

This poses an immediate risk to the Health and Safety 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:Dawn Parker
LICENSING EVALUATOR NAME:Lakesha Edwards
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2021


LIC809 (FAS) - (06/04)
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