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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701477
Report Date: 08/20/2026
Date Signed: 08/20/2026 12:20:22 PM

Document Has Been Signed on 08/20/2026 12:20 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 CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ASPEN LEAF PRESCHOOL-BARRY TED MOSKOWITZ CCCFACILITY NUMBER:
376701477
ADMINISTRATOR/
DIRECTOR:
SUSANNA HERBSTFACILITY TYPE:
850
ADDRESS:880 FRONT STREET, SUITE 1295TELEPHONE:
(619) 557-3431
CITY:SAN DIEGOSTATE: CAZIP CODE:
92101
CAPACITY: 70TOTAL ENROLLED CHILDREN: 62CENSUS: 48DATE:
08/20/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Susanna HerbstTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
NARRATIVE
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On August 20, 2026, at 8:30 a.m., Licensing Program Analyst (LPA) Victoria Felix conducted an unannounced Case Management inspection regarding a self-reported incident. LPA met with Director Susanna Herbst and disclosed the purpose of the inspection. LPA, accompanied by the Director, toured the indoor and outdoor areas of the facility to gather census. There were 48 children present, supervised by two 13 staff members.

Director reported that on 8/12/2026, Staff #1 (S1) and Staff #2 (S2) were preparing to take eleven children to the playground located behind the secured building. Prior to leaving the classroom, S1 and S2 did not complete the required name-to-face verification. As a result, Child #1 (C1) was inadvertently left inside the RM #3 classroom from approximately 4:00 p.m. to 4:04 p.m. An incident involving a lack of supervision of C1 was subsequently reported. At approximately 4:04 p.m., a parent discovered C1 inside the classroom and notified the Director.

Interviews were conducted with the Director, and S2. The LPA did not interview C1 due to the child's nonverbal status. The LPA reviewed staff files and obtained copies of the facility roster, sign-in/sign-out sheets, and other relevant documentation.

Based on the interviews conducted and documentation reviewed, it was determined that C1 was left alone and without supervision inside the classroom located within the secured building for approximately four (4) minutes. S2 stated that C1's authorized representative was notified of the incident.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, a deficiency is being cited on the attached LIC 809D. This violation constitutes an immediate civil penalty for Absence of Supervision, Section 101229(a)(1). A $500 immediate civil penalty was assessed. Refer to LIC 421IM.

Selina Siao
Victoria Felix
DATE: 08/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ASPEN LEAF PRESCHOOL-BARRY TED MOSKOWITZ CCC
FACILITY NUMBER: 376701477
VISIT DATE: 08/20/2026
NARRATIVE
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LPA Victoria Felix informed Director Susanna Herbst that this report dated 8/20/2026 documents one 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.

Additionally, LPA Felix informed Director Susanna Herbst that a copy of this licensing report dated 8/20/2026, documenting any Type A citation, must be provided to the parents/guardians of all children currently enrolled by the next business day, or the next day children are in care, and to the parents/guardians of newly enrolled children 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 maintained in each child’s file for verification.

A Notice of Site Visit was provided and must remain posted for 30 days.

An exit interview was conducted, and the report was reviewed with Director Susanna Herbst

NAME OF LICENSING PROGRAM MANAGER: Selina Siao
NAME OF LICENSING PROGRAM ANALYST: Victoria Felix
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/20/2026 12:20 PM - It Cannot Be Edited


Created By: Victoria Felix On 08/20/2026 at 10:18 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: ASPEN LEAF PRESCHOOL-BARRY TED MOSKOWITZ CCC

FACILITY NUMBER: 376701477

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/20/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/21/2026
Section Cited
CCR
101229(a)(1)

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101229 (a)(1) The licensee shall provide care and supervision... (1) 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 that the Parent Board President was made aware of the incident and Director made the decisiond that disciplinary action be taken regarding S1. Director also stated that all staff completed an in-person refresher training on the center’s “name-to-face” protocol on 8/19/26.
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Based on interview and record review, the facility did not comply with the section cited above in that on August 12, 2026, there was an absence of supervision resulting in C1 being left unsupervised in a classroomwhich poses an immediate, safety, or personal rights risk to persons in care.
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Director will submit the staff attendance sign-in sheet, training agenda, training summary, and a supervision and child-transition plan to the SDCCRO no later than 8/21/26. Director also stated that she will attend an in-person meeting at the SDCCRO to discuss supervision and child-transition procedures with the LPM.

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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.
Selina Siao
NAME OF LICENSING PROGRAM MANAGER:
Victoria Felix
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/20/2026


LIC809 (FAS) - (06/04)
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