376701477-12-27-2021-20-CC-RGOU-CA4TZ5-20211227140946

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701477
Report Date: 12/27/2021
Date Signed: 12/27/2021 02:10:15 PM

Document Has Been Signed on 12/27/2021 02:10 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:	ASPEN LEAF PRESCHOOL-BARRY TED MOSKOWITZ CCC		FACILITY NUMBER:	376701477
ADMINISTRATOR:	CHRISTINA MARTINEZ		FACILITY TYPE:	850
ADDRESS:	880 FRONT STREET, SUITE 1295		TELEPHONE:	(619) 557-3431
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92101
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 60	CENSUS: 20	DATE:	12/27/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:28 AM
MET WITH:	Christina Martinez		TIME COMPLETED:	01:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 12/27/21, at 9:28 a.m., Licensing Program Analyst (LPA), Rajani Goudreau, conducted an unannounced Annual Inspection and met with Director, Christina Martinez. LPA disclosed the purpose of the inspection and toured the facility indoors and outdoors. This is a full day program which operates year around, Monday through Friday from 8:00 a.m. to 5:30 p.m. There are currently four classrooms in operation (#128, #130, #134, #138). The following ratios were observed: 20 children with nine staff members. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection. All poisons shall be kept in a locked storage area. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All toilets and hand washing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off-site activities. See LIC809-C continuation page...

Tulam Vu
Rajani Goudreau
	DATE: 12/27/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2021

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 12/27/2021 02:10 PM - It Cannot Be Edited

Created By: Rajani Goudreau On 12/27/2021 at 11:31 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: 12/27/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216.1(b)(1)

Teacher Qualifications and Duties

(b) Prior to employment, a teacher shall meet the requirements of (b)(1) or (b)(2) below: (1) A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below; or shall have obtained a Child Development Assistant Permit issued by the California Commission on Teacher Credentialing. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above as staff member #1 (Teacher) did not have at least six postsecondary semester or equivalent quarter units of the required education or a child development assistant or teacher credentialing permit, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/27/2022
	Plan of Correction
1 2 3 4	Director stated, staff member #1 will be treated as an aide until she completes the required education. Director stated she will verify upon hiring staff members have the required education based on the position. Director stated she will develop a plan of operation to ensure staff members have the required education and submit to the department.

Type B

Section Cited

CCR

101429(a)(2)(C)

Responsibility for Providing Care and Supervision for Infants

(5) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above as two children (children #1, #2 -listed under the LIC811) ages 18 through 24 months of age enrolled in the toddler component did not have the following sleep documentation on file: date, infant’s name,time of each 15-minute check, initials of staff person who conducted each check, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/27/2022
	Plan of Correction
1 2 3 4	Director stated she will provide a copy of the sleep log and develop a plan of operation to ensure the log is on file and staff members are conducting the 15-minute checks and documenting the following: date, infant’s name, time of each 15-minute check, initials of staff person who conducted each check.

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:

Rajani Goudreau

LICENSING EVALUATOR SIGNATURE:

DATE: 12/27/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2021

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: ASPEN LEAF PRESCHOOL-BARRY TED MOSKOWITZ CCC	FACILITY NUMBER: 376701477
	VISIT DATE: 12/27/2021

NARRATIVE

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The name of the childcare center director or fully-qualified teacher has been designated to act in the director’s absence has been reported to the Department.The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. All children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children in care. LPA reviewed a sample of children’s files and observed contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment on file. However, two children (children #1 & #2 -listed under the LIC811) ages 18 through 24 months of age enrolled in the toddler component did not have documentation on file reflecting the sleep checks, based on review of files. LPA informed the director the provisions of sections 101351 through 101439.1 shall apply for children between the ages of 18 and 24 enrolled under the toddler component. LPA reviewed a sample of staff files and observed the health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training on file. However, staff #1 listed on the LIC811 did not have at least six post-secondary semester or equivalent quarter units of the required education or a child development assistant or teacher credentialing permit, based in review of the transcripts on file. Teacher qualifications were discussed with the director. The hiring is conducted by the licensee. Menus are posted at least one week in advance where an authorized representative can view them.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.The director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. This facility provides Incidental Medical Services (IMS). There is currently no children in care receiving IMS services. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following two type B deficiencies are being cited: (see the LIC809-D page). Exit interview was conducted and reports were reviewed with Director, Christina Martinez. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2021

LIC809 (FAS) - (06/04)

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