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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700971
Report Date: 07/22/2024
Date Signed: 08/13/2025 08:17:56 AM

Document Has Been Signed on 08/13/2025 08:17 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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:COTTONTAIL PRESCHOOLFACILITY NUMBER:
376700971
ADMINISTRATOR/
DIRECTOR:		DENISE MATTHEWSFACILITY TYPE:
850
ADDRESS:471 E STREETTELEPHONE:
(619) 425-3107
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 49TOTAL ENROLLED CHILDREN: 49CENSUS: 22DATE:
07/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Denise MatthewsTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
NARRATIVE
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On 7/22/24 at 2:30pm, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced inspection to deliver amended complaint findings. This LIC809 will be used to memorialize the inspection.

PLEASE SEE LIC9099 and LIC9099D dated 7/22/24.

This LIC809 and 809D will also be used to document a citation initially cited on 6/14/24 complaint report.

Exit interview was conducted, report reviewed, and Appeal Rights discussed with licensee. A Notice of Site Visit was given and must remain posted on, or immediately next to, interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
NAME OF LICENSING PROGRAM MANAGER: Cynthia Gray
NAME OF LICENSING PROGRAM ANALYST: Adrian Castellon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2024
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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Document Has Been Signed on 08/13/2025 08:17 AM - It Cannot Be Edited


Created By: Adrian Castellon On 07/22/2024 at 01:58 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: COTTONTAIL PRESCHOOL
FACILITY NUMBER: 376700971

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/26/2024
Section Cited
CCR
101230(c)

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101230 Activities (c) A teacher-child ratio of one teacher supervising 24 napping children is permitted provided that the remaining teachers necessary to meet the overall ratio specified in Section 101216.3(a) are immediately available at the center.
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Director Matthews states that she will hold an all staff meeting discussing required Ratios in class and during naptime. Director will submit minutes of meeting with staff signatures. Director will also submit daily roster/ratio sheets dated 6/17/24 thru 07/01/24.
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This requirement was not met as evidenced by interviews conducted indicating that on more than one occasion, one staff member has cared for more than 24 napping children. This may pose a threat 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:Cynthia Gray
LICENSING EVALUATOR NAME:Adrian Castellon
LICENSING EVALUATOR SIGNATURE:
DATE: 07/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/22/2024


LIC809 (FAS) - (06/04)
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