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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701041
Report Date: 04/11/2023
Date Signed: 04/11/2023 04:27:11 PM

Document Has Been Signed on 04/11/2023 04:27 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:EARLY LEARNERS CHILDREN'S ACADEMYFACILITY NUMBER:
376701041
ADMINISTRATOR:MARLA RAMIREZFACILITY TYPE:
830
ADDRESS:4050 TAYLOR STREETTELEPHONE:
(619) 291-5200
CITY:SAN DIEGOSTATE: CAZIP CODE:
92110
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: DATE:
04/11/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Marielle TorresTIME COMPLETED:
04:40 PM
NARRATIVE
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On 4/11/23 at 1:30 PM Licensing Program Analysts (LPA’s), Adrian Mangina and Gerald Poindexter conducted an unannounced case management visit to follow-up on an incident involving regarding an allergic reaction incident. LPAs met with Acting Director Marielle Torres as Director Marla Ramirez is out of the office. LPAs conducted a brief tour of the facility. There were 17 children in 3 classrooms with 3 teachers and 3 aids present. Appropriate ratios were observed.

During the visit LPAS conducted staff and child file review. LPAs observed that 2 staff (staff 1 and staff 2) are fingerprint cleared but not associated to the facility. LPAs also observed that the facility does not have the waiver for shared playground posted as required. Due to limited staffing, LPAs were unable to conduct required interviews.

See LIC809-D for deficiencies cited and civil penalties given.

Exit interview conducted with the Acting Director Marielle Torres. LPAs will continue investigations and issue additional citations if needed. Notice of site visit was given, and it must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2023
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 04/11/2023 04:27 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 04/11/2023 at 03:43 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: EARLY LEARNERS CHILDREN'S ACADEMY

FACILITY NUMBER: 376701041

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
04/12/2023
Section Cited
CCR
101170(E)(2)

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CRIMINAL RECORDS CLEARNCES: 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...equest 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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Facility Representative states will submit request to transfer fingerrpint clearances to the Department no later than close of business 4/12/23 and will in future ensure that all staff are fingerprint cleared and associated before they are allowed to work in facility.
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Based on record review the licensee did not comply with the section cited above as 2 of 7 staff were fingerprint cleared but not associated to the facility which poses a potential health, safety or personal rights risk to persons in care.
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Type B
04/18/2023
Section Cited
CCR101175(b)(3)(A)

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WAIVERS AND EXCEPTION FOR PROGRAM FLEXIBILITY: The licensee shall maintain and make available for review, at the child care center, a copy of the written approval or denial.
This requirement was not met as evidenced by:
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Facility Representative states will post copy of the shared playground waiver and playground schedule and will provide proof to LPA no later than close of business 4/18/23
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Based on record review the licensee did not comply with the section cited above as facility has a waiver to shared playground space between preschool and infant programs and does not have the waiver or schedule posted as required, which poses a potential health, safety or personal rights risk to persons 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:Renesha Askew
LICENSING EVALUATOR NAME:Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2023


LIC809 (FAS) - (06/04)
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