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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701486
Report Date: 08/05/2025
Date Signed: 08/05/2025 02:37:32 PM

Document Has Been Signed on 08/05/2025 02:37 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:NHA - BROADWAY EARLY LEARNING ACADEMYFACILITY NUMBER:
376701486
ADMINISTRATOR/
DIRECTOR:		GUILLERMO ALFARO JRFACILITY TYPE:
830
ADDRESS:475 WEST BROADWAYTELEPHONE:
(619) 614-1500
CITY:SAN DIEGOSTATE: CAZIP CODE:
92101
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 21DATE:
08/05/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Guillermo AlfaroTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On August 5, 2025, at 12:30 p.m., Licensing Program Analysts (LPAs) Victoria Hernandez and Raina Alexanian conducted an unannounced initial complaint investigation inspection at the facility. Upon arrival, LPAs met with Site Supervisor Guillermo Alfaro, explained the purpose of the visit, and conducted a tour of the facility, including both indoor and outdoor areas. Present during the inspection were the site supervisor, eight (8) staff members, and twenty-one (21) children.

During the investigation, it was determined that the facility failed to report an incident involving Staff #2 and Child #1 (C1),, as required under Title 22, Division 12, Section 101212(d)(1). This regulation requires that such incidents be reported to the Department by telephone or fax by the next working day and followed by a written report within seven days.

Additionally, it was found that the facility did not follow its approved Plan of Operation, which outlines that staff must notify the site supervisor and that parents must be informed when safe physical redirection is used. In this instance, staff failed to notify both the supervisor and the parents, which is a violation of Title 22, Section 101173(d), requiring the facility to operate in accordance with the terms specified in its Plan of Operation.

Per California Code of Regulations, (Title 22, division 12 & Chapter 3) two (2) Type B is cited on the attached LIC 809-D.

A notice of site visit was given and must remain posted for 30 days.


Exit interview conducted and report was reviewed with the Site Supervisor Guillermo Alfaro.
NAME OF LICENSING PROGRAM MANAGER: Jason Garay
NAME OF LICENSING PROGRAM ANALYST: Victoria Hernandez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2025
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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Document Has Been Signed on 08/05/2025 02:37 PM - It Cannot Be Edited


Created By: Victoria Hernandez On 08/05/2025 at 12:45 PM
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: NHA - BROADWAY EARLY LEARNING ACADEMY
FACILITY NUMBER: 376701486

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/12/2025
Section Cited
CCR
101212(D)(1)

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The licensee shall ensure that the Department is notified of specified incidents by telephone or fax within the Department’s next working day and during its normal business hours. Such incidents include, but are not limited to: any suspected physical or psychological abuse of any child...
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The Site Supervisor stated that he will conduct a staff meeting in collaboration with his supervisor to ensure the SDRO is notified whenever an unusual incident occurs, in accordance with reporting requirements. Site Supervior will conduct staff meeting and send proof to the SDRO.
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This requirement was not met as evidenced by… Based on interviews conducted and a review of facility records, it was determined that the facility did not report the incident, as staff and administration did not believe it met the criteria for mandated reporting, which poses a potential health, safety or personal rights risk to the children in care.
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Type B
08/12/2025
Section Cited
CCR101173(D)

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The licensee shall ensure that the child care center operates in accordance with the terms specified in the approved Plan of Operation, as required by Title 22, Section 101173(d). This requirement was not met as evidenced by the licensee’s failure to follow their Plan of Operation
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The Site Supervisor stated that he will conduct a staff meeting in collaboration with his supervisor to ensure that all staff are following the facility’s Plan of Operation. The Site Supervisor also indicated that proof of the meeting will be submitted to SDRO
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regarding notifying parents of safe physical redirect. This requirement was not met as evidenced by…Based on interviews and a review of records, it was determined that the facility did not notify parents of the safe physical redirection as required by their Plan of Operation, which poses a potential risk to the health, safety, and personal rights of the 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.
Jason Garay
NAME OF LICENSING PROGRAM MANAGER:
Victoria Hernandez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/05/2025


LIC809 (FAS) - (06/04)
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