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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701477
Report Date: 03/15/2024
Date Signed: 03/15/2024 11:12:14 AM


Document Has Been Signed on 03/15/2024 11:12 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108



FACILITY NAME:ASPEN LEAF PRESCHOOL-BARRY TED MOSKOWITZ CCCFACILITY NUMBER:
376701477
ADMINISTRATOR:SUSANNA HERBSTFACILITY TYPE:
850
ADDRESS:880 FRONT STREET, SUITE 1295TELEPHONE:
(619) 557-3431
CITY:SAN DIEGOSTATE: CAZIP CODE:
92101
CAPACITY:70CENSUS: 44DATE:
03/15/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Karina JancoTIME COMPLETED:
11:45 AM
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On March 15, 2024, at 9:45am., Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection regarding a self - reported incident. LPA met with Assistant Director, Karina Janco. LPA discussed the purpose of the inspection and was led on a tour of the facility. There were 44 children present with seven (7) staff members.

On February 6, 2024, the Assistant Director self- reported an incident regarding inappropriate interaction involving Child 1 (C1) and Child (C2). Per Assistant Director, the alleged incident occurred on February 5, 2024 at 4:45 pm.

During the investigation of the incident, LPA conducted interviews with the directors, staff, daycare children, authorized representatives of C1 and C2 and an outside agency. LPA reviewed and obtained pertinent documentation.

Interviews revealed that Staff (S1) was in the classroom supervising nine (9) children when she observed C1 and C2 in the post office play area of the classroom interacting inappropriately. S1 stated that she immediately intervened, and the inappropriate interaction immediately ceased. S1 immediately reported the incident to the Facility Representative and the Authorized Representatives for C1 and C2.



Director, Susanna Herbst stated that the classroom furniture has been reorganized to ensure that there is a open view of the entire classroom. LPA conducted a tour of the classroom. Director provided photos of the original set up of the classroom to the San Diego Regional Office. It has been determined that there are no violations regarding this incident.

No deficiencies cited during today’s inspection. Exit interview was conducted with Assistant Director, Karina Janco. and a copy of this report, Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2024
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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