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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701061
Report Date: 03/04/2025
Date Signed: 03/04/2025 12:00:38 PM

Document Has Been Signed on 03/04/2025 12:00 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:VINE LEARNING CENTER, THEFACILITY NUMBER:
376701061
ADMINISTRATOR/
DIRECTOR:		ANA LOPEZFACILITY TYPE:
850
ADDRESS:2130 ULRIC STREETTELEPHONE:
(858) 974-1222
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY: 108TOTAL ENROLLED CHILDREN: 82CENSUS: 61DATE:
03/04/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:47 AM
MET WITH:Ana LopezTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
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On 3/04/2025 at 8:47 AM, Licensing Program Analysts (LPAs) Adriana Macias and Nancy Diaz conducted an unannounced case management inspection to follow up on a self-reported unusual incident. Incident took place 2/21/25 at approximately 3:53 PM and Incident Report was submitted to licensing on 2/28/25. Upon arrival, LPAs met with Director Ana Lopez and toured the facility. LPA Nancy Diaz also delivered an amended report (dated December 5, 2024). LPAs observed the following census at the facility:

Classroom Monkeys: 17 children, 1 teacher, 1 aide


Classroom Bumblebees: 7 children, 1 teacher
Classroom Butterflies: 16 children, 2 teachers
Classroom Ladybugs: 21 children, 2 teachers
There was a total census of 61 children today. LPA observed Monkeys Classroom out of ratio with 17 preschool children, only 1 fully qualified teacher and an aide. LPAs observed a second qualified teacher come inside the classroom about 2 minutes later because she had gone to her break.

Incident reported involved a child left unattended for approximately 6 minutes on the playground. At this visit, LPAs interviewed Director and staff who found the child. LPAs observed the area where the incident had occurred. Due to staff lack of supervision, it was determined that the child was accidentally left in a licensed area of the playground and was not in immediate danger. Teacher in charge of that classroom, had failed to do a “Name to Face” count during the transition from playground to the classroom and did not realized that a child had been left behind inside one of the playhouse structures. Approximately 6 minutes after, the next classroom using the playground came outside and a couple teachers found the child inside the playhouse structure. Staff reported that child was observed playing and not in distress. Director stated she retrained staff on “Name to Face” census counts and provided Training Agenda.

Pursuant to Title 22 of the CA Code of Regulations, the following Type B deficiencies were cited (refer to LIC 809-Ds). Exit interview conducted and report was reviewed with facility representative Director Ana Lopez. LPAs provided a copy of the report and appeal rights. A notice of site visit was provided and must remain posted for 30 days.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Adriana Macias
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 03/04/2025 12:00 PM - It Cannot Be Edited


Created By: Adriana Macias On 03/04/2025 at 10:43 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: VINE LEARNING CENTER, THE
FACILITY NUMBER: 376701061

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/04/2025
Section Cited
CCR
101229(a)

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RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION.
(1) No child(ren) shall be left without the supervision of a teacher at any time...

this requirement was not met as evidenced by...
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Director did a staff training on "Name to Face" training on 2/26/2025. LPA received a copy of Staff Meeting Agenda with staff signatures on 3/04/25.
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Based on interviews and documentation reviewed today, a preschool child was left in the playground area unattended and without visual supervision for approximately 6 minutes on 2/21/2025.
This is a repeat violation.
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Type B
03/11/2025
Section Cited
CCR101216(g)(2)

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PERSONNEL REQUIREMENTS
Each person specified in (g) above shall have a health-screening report signed by the person performing the screening.

This requirement was not met as evidenced by...
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Director will provide a copy of the Health Screening Report to the department by 3/11/25 via email.
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Based on record review staff Jessica Olachea (substitute) did not have a copy of the health screening on file.
This is a repeat violation.
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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:Tashima Daniel
LICENSING EVALUATOR NAME:Adriana Macias
LICENSING EVALUATOR SIGNATURE:
DATE: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/04/2025


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 03/04/2025 12:00 PM - It Cannot Be Edited


Created By: Adriana Macias On 03/04/2025 at 11:49 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: VINE LEARNING CENTER, THE
FACILITY NUMBER: 376701061

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/11/2025
Section Cited
CCR
101216.3(b)

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TEACHER-CHILD RATIO
The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance.
This requirement was not met as evidenced by:
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Director stated that she has a fully qualified teacher as a floater that will be on ratio so that a teacher can take a break. Director acknowledges that an aide and a teacher can not have more than 15 children at any given time.
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Based on observation during tour of the facility, Monkeys Classroom was observed with 17 preschool children, with 1 teacher and 1 aide.
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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:Tashima Daniel
LICENSING EVALUATOR NAME:Adriana Macias
LICENSING EVALUATOR SIGNATURE:
DATE: 03/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/04/2025


LIC809 (FAS) - (06/04)
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