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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701072
Report Date: 01/22/2025
Date Signed: 01/22/2025 02:19:28 PM

Document Has Been Signed on 01/22/2025 02:19 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:MAOF SAN YSIDRO EARLY LEARNING CENTERFACILITY NUMBER:
376701072
ADMINISTRATOR/
DIRECTOR:		DULCE HUERTAFACILITY TYPE:
850
ADDRESS:1901 DEL SUR BLVD., 1ST FLOORTELEPHONE:
(619) 621-2525
CITY:SAN YSIDROSTATE: CAZIP CODE:
92173
CAPACITY: 96TOTAL ENROLLED CHILDREN: 52CENSUS: 42DATE:
01/22/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Dulce HuertaTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On January 22, 2025 at 9:30 AM, Licensing Program Analyst (LPA) Gloria Gonzalez conducted an unannounced Case Management inspection to follow-up on 3 self-reported incidents that occurred on or about 9/25/24, 1/16/25, and 1/17/25.  LPA disclosed the purpose of the inspection and was granted a tour into the facility by Director, Dulce Huerta. There were fourty-two (42) children and nine (9) staff members at the time of this inspection.

An unusual incident report (UIR) was submitted to the San Diego Regional Office (SDRO) on 9/25/24. The incident that occurred on or about 9/25/24 was regarding Child #1, (C1) was expressing challenging behaviors and Staff #1 (S1) allegedly pulled C1's arm. Interviews were conducted Director and Staff #2. C1 is still attending this facility. Attempted interviews with Parent 1 (P1) and C1.
 
At this time, based on information obtained, no disclosures were made an no evidence to corroborate this incident. No deficiencies cited at this time for this incident. The incident investigation may be reopened should further information be obtained.

An UIR was submitted to the SDRO on 1/17/25. The incident that occurred on or about 1/17/25 was regarding a water pipe that bursted and the main water line was shut off leaving the site without available water as of 12:00 PM. This facility was already scheduled to close due to minium day and all children were picked up by 12:00 PM on 1/16/25. Staff and parents were notified that the facility will be closed on 1/17/25 and re-opened on 1/21/25 since 1/20/25 was closed in observance of the holiday.
 
At this time, based on information obtained, no deficiencies cited and no further action needed for this incident.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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 01/22/2025 02:19 PM - It Cannot Be Edited


Created By: Gloria Gonzalez On 01/21/2025 at 04:08 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: MAOF SAN YSIDRO EARLY LEARNING CENTER
FACILITY NUMBER: 376701072

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/24/2025
Section Cited
CCR
101229(a)(1)

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101229(a)(1) Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.
This requirement is not met as evidenced by:
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Director stated she spoke to staff letting them know that active supervision is very important. Director stated they have alarms on doors. Director stated that they have zoning maps and staff were reminded to make sure they are being followed. Staff stated the facility will have a training on 2/20/25 including active supervision.
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Based on interviews and Staff's own admission, the licensee did not comply with the section cited above in that it was determined that on 1/16/25 there was an Absence of Supervision resulting in C1 was left unsupervised, which poses an immediate health and safety risk for persons in care.
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Director stated she will send the Department proof of this training. Director stated she will send a summary of the CCL video on Supervision and will submit a copy of a summary signed by staff, and a plan of correction will be submitted to the Department by 1/24/25.

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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:Tulam Vu
LICENSING EVALUATOR NAME:Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/22/2025


LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MAOF SAN YSIDRO EARLY LEARNING CENTER
FACILITY NUMBER: 376701072
VISIT DATE: 01/22/2025
NARRATIVE
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An UIR was submitted to the SDRO on 1/16/25 due to possible lack of supervision. The incident that occurred on or about 1/16/25 was regarding C1 (same child as the incident above). Based on interviews with staff and Director, it was determined that on 1/16/25 C1 was left unattended and unsupervised for approximately 1 minute in the hallway. Based on S2, S3, S4, S5, and S6 admissions of not observing C1 leaving the classroom and finding him in the hallway unsupervised by himself, between classroom #4 and classroom #2A. C1 is still attending this facility. LPA attempted to interview C1 and P1.

One (1) Type A deficiency was cited on the LIC809-D.  LPA, Gonzalez informed Director, Dulce Huerta that this report dated 1/22/25 documents one (1) Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.  Also, LPA, Gonzalez informed Director to provide a copy of this licensing report dated 1/22/25 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days and LPA observed it being posted.  Failure to comply with posting requirements shall result in an immediate civil penalty of $100. An exit interview was conducted with Director, Dulce Huerta.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC809 (FAS) - (06/04)
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