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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701422
Report Date: 06/01/2022
Date Signed: 06/01/2022 04:48:27 PM

Document Has Been Signed on 06/01/2022 04:48 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:WARREN-WALKER EARLY LEARNING CENTERFACILITY NUMBER:
376701422
ADMINISTRATOR:SUSANNAH TAYLOR-COOKFACILITY TYPE:
850
ADDRESS:2905 CADIZ STREETTELEPHONE:
(619) 771-3663
CITY:SAN DIEGOSTATE: CAZIP CODE:
92110
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 11DATE:
06/01/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:05 AM
MET WITH:Shelly BakerTIME COMPLETED:
09:05 AM
NARRATIVE
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On 6/1/22 at 8:05 AM Licening Program Amalyst (LPA) Adrian Mangina conducted a case management deficiencies at the facility. LPA was at the facility for another matter and was waiting in the office lobby for Director to arrive and witnessed a new floater teacher (staff #1) speaking with staff #2 and informing that it was the staff's first day. Staff #2 discussed on boarding and brought Staff #1 to work in the toddler classroom. Director arrived at approximately 8:45 AM.

At 9:00 AM LPA observed that the new floater was not associated to the facility as the teacher was not associated in the Guardian staff roster dated 5/31/22. LPA also observed that the Previous Director and Assistant director are no longer employed as of 4/2/22 and there was no new director packet submitted within 10 days as required. In addition, in speaking with Acting Director Shelley Baker, LPA was informed of an outbreak of disease at the facility around 5/21/22 and there is not record that facility informed Licensee verbally within 24 hours, nor has Licensing received any written incident reports regarding the outbreak,

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

Please be advised that FAILURE TO PAY the required civil penalty payment may result in in the REVOCATION OF YOUR LICENSE. You must respond within 30 days with the payment of or a proposed payment plan that includes the first payment. Further, the Department will not approve any requests for increase in capacity or for additional capacity of additional licenses while civil penalties remain unpaid.

Exit interview conducted and report was reviewed with facility representative Shelly Baker. A notice of site visit was given and must remain posted for 30 days

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 06/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2022
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 06/01/2022 04:48 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 06/01/2022 at 10:40 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: WARREN-WALKER EARLY LEARNING CENTER
FACILITY NUMBER: 376701422

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/08/2022
Section Cited
CCR
101170(e)(2)

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Criminal Records Clearnces: (e) 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:(2) Request a transfer of a criminal record clearance...
This requirement was not met as evidenced by:
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LIcensee associated staff #1 while LPA was present and stated will ensure that all future staff are fingerprint cleared and associated prior to working with children.
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Based on LPA record review and Director statement Staff #1 did have fingerprint clearences but was not asssocted to the facility before being allowed to work with children which poses a potential health, safety or personal rights risk to children in care.
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Type B
06/08/2022
Section Cited
CCR101212(b)

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Reporting Requirements:The name of the child care center director, and ...teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).
This requirement was not met as evidenced by:
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Licensee states will submit New director packet and will identify the lead teacher in charge when the new director is not present, no later than close of business 6/8/22.
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Based on Director statement and record review Facility did not report to Licensing that previous director and assista which poses a potential health, safety or personal rights risk to children in care.nt director left employment on 4/2/22
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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: 06/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/01/2022


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 06/01/2022 04:48 PM - It Cannot Be Edited


Created By: Adrian L Mangina On 06/01/2022 at 11:08 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: WARREN-WALKER EARLY LEARNING CENTER
FACILITY NUMBER: 376701422

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/08/2022
Section Cited
CCR
101212(e)

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Reporting Requirements:Upon the occurrence... a report shall be made to the Department by telephone or fax...next working day... In addition, a written report... within seven days following the occurrence of ...Epidemic outbreaks.
This requirment was not met as evidenced by:
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Licensee states will submit LIC624 for four covid positve cases and provide proof to LPA no later than close of business 6/8/22. Director also states will ensure that all future reporting requirements will be met per regulation.
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Based on Interview and record review LIcensee states left voicemail and sent incident reports by mail, but there is not record at Licensing office that this occurred and Director does not have copies of the incident report she claims were submittied which poses a potential health, safety or personal rigths 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:Renesha Askew
LICENSING EVALUATOR NAME:Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:
DATE: 06/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/01/2022


LIC809 (FAS) - (06/04)
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