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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701381
Report Date: 05/30/2019
Date Signed: 01/23/2023 08:35:42 AM

Document Has Been Signed on 01/23/2023 08:35 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ENGLISH FRENCH LEARNING ACADEMYFACILITY NUMBER:
376701381
ADMINISTRATOR:JASMINE CISNEROSFACILITY TYPE:
850
ADDRESS:8401 AERO DRIVETELEPHONE:
(858) 277-1514
CITY:SAN DIEGOSTATE: CAZIP CODE:
92123
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: DATE:
05/30/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Director Jasmine CisnerosTIME COMPLETED:
02:00 PM
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Licensing Program Analyst, Joelle Redding, made an unannounced visit to follow up on a self reported incident that occurred on May 14th wherein two 3 year old children (Child #1 and #2) were unsupervised for approximately 10 to 15 minutes when the enrichment program staff did not return the children to the school's after care program.

LPA interviewed the Director and Staff #1. Staff #1 stated that she transferred Child #1 and #2 to the Soccer Shots staff member. There are normally two staff members but that day there was only one. Staff #1 states that the children are verified on the Soccer staff member's list of enrollees before the transfer. They are not signed out formally from the school.

Director states that Soccer Shots is an after school enrichment program which are outside vendors the parents contract with directly. Some parents pick up directly from Soccer Shots and some children are returned to after care. No record of which children are to return is on file with the aftercare staff.

No deficiencies are cited at this time. Further follow up will be conducted.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2019
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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