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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700997
Report Date: 02/04/2022
Date Signed: 02/04/2022 02:07:18 PM

Document Has Been Signed on 02/04/2022 02:07 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:VINE LEARNING CENTER #2, THEFACILITY NUMBER:
376700997
ADMINISTRATOR:SAMANTHA AGUIRREFACILITY TYPE:
830
ADDRESS:6705 LINDA VISTA ROADTELEPHONE:
(858) 974-1222
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY: 58TOTAL ENROLLED CHILDREN: 52CENSUS: 35DATE:
02/04/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Samantha AguirreTIME COMPLETED:
02:15 PM
NARRATIVE
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On 02/04/2022 at 10:45am, Licensing Program Analyst (LPA) Selina Siao conducted an unannounced case management inspection. Upon arrival, LPA Siao met with Assistant Director Sofia Arroyo to tour the classrooms and Director Samantha Aguirre arrived toward the end of the tour.
The following ratios were observed: Infant room 2 had 13 infants supervised by staff members Janet Cintora, Jaliva Dawson, Ruby Thompson and Rihab Haraj. 20 toddlers were outside at the playground supervised by staff mbmers Veronica Garcia, Yensenia Castillo, Patricia Aceves, Brittany Munoz and Ofelia Flores. Infant 1 room had 2 infants supervised by staff Clara Galan.

Facility is within staffing ratio during the tour of the classrooms but two of the staff members are not associated to the facility and civil penalty of $200 will be assessed.

See LIC809D for citation issue.

Appeal Rights (1/16) were discussed and provided. Notice of Site Visit was posted during this visit and will remain posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2022
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 02/04/2022 02:07 PM - It Cannot Be Edited


Created By: Selina Siao On 02/04/2022 at 01:39 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: VINE LEARNING CENTER #2, THE
FACILITY NUMBER: 376700997

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/04/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/04/2022
Section Cited
CCR
101170(e)(2)

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Criminal Record Clearance
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. Request a transfer of a criminal record clearance as specified in Section 101170(f).
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Director stated that she will get a fax machine to ensure that the transfer request gets process. In the mean time she will be sure that the staff is associated prior to having the individual be in the class.
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This requirement is not met as evidence that staff members Ruby Thompson and Rihab Haraj's fingerprints are 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:Monica Cuddy
LICENSING EVALUATOR NAME:Selina Siao
LICENSING EVALUATOR SIGNATURE:
DATE: 02/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2022


LIC809 (FAS) - (06/04)
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