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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701561
Report Date: 03/06/2024
Date Signed: 03/06/2024 03:28:00 PM

Document Has Been Signed on 03/06/2024 03:28 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-DAMON R. CARSON EARLY LEARNING ACADEMYFACILITY NUMBER:
376701561
ADMINISTRATOR:MERRYANN JENKINSFACILITY TYPE:
860
ADDRESS:4110 41ST STTELEPHONE:
(619) 837-8350
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 0DATE:
03/06/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Rodney Carey & Merryann JenkinsTIME COMPLETED:
10:40 AM
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On 03/06/2024 at 8:30am, Licensing Program Analyst (LPA), Samantha Clenista conducted an announced Pre-Licensing inspection. Upon arrival, LPA met with Facility Representatives, Rodney Carey (AVP of Operations) and Merryann Jenkins (Center Director). All indoor and outdoor activity space utilized for the children were inspected today. Facility is requesting to be licensed for 40 children in total; 30 toddlers (ages 18-36 months) in Rooms #1, #3 and #4, and 10 preschoolers (ages 2-5 years old) in Room #2. Fire clearance was granted on 02/13/2024. The areas used for the toddler program indoors were observed to be separate from the preschool program. LPA informed Facility Representatives that the programs shall never commingle at any given time and that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor play. When medications are on site (depending on the medication), Facility Representatives stated that they will be in a locked cabinet within each room.

LPA continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space measured at approximately 1,624.84 sq. ft., sufficient for requested capacity. LPA observed each room to have one sink available for the children, one sink available for the staff and a changing table within arm’s reach of the staff sink. There is a total of 1 toilet and 2 sinks available for the preschool children (labeled on sketch and in person) and 3 toilets and 4 sinks available for the toddler children. LPA observed all indoor play space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots/mats, bookshelves, and other activity supplies for the children. Facility Representatives were reminded that all infant bottles (if any) shall have their name and date on them daily. Infant needs and services plan will be stored within each classroom in a binder per child. Facility Representatives were reminded that they have to be updated quarterly. LPA reminded Facility Representatives the requirement of maintaining a safe sleep log for every child less than 24 months.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2024
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 4
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: NHA-DAMON R. CARSON EARLY LEARNING ACADEMY
FACILITY NUMBER: 376701561
VISIT DATE: 03/06/2024
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There are two separate staff restrooms located within Room #4 equipped with a total of 2 toilets and 2 sinks. The director's office and staff restroom #1 will be the isolation area for children who are ill. The kitchen area currently includes 2 refrigerators, 1 microwave and storage for food. Kitchen area and food storage area was observed free of rodents and/or vermin. There is an operational carbon monoxide detector on site located within each classroom. All required documents were observed posted in the main parent drop off/pick up area and throughout the center. This area is also where the sign-in and out is located, where each parent will be required to physically sign in and out their child(ren). Facility Representatives stated there are no firearms or weapons on site. Facility Representatives were advised to conduct ongoing checks of the entire facility to ensure all hazardous items (especially if a label states, “Keep out of reach of children”) are inaccessible to children by either placing it up on high surfaces, locked cabinet/drawer, or removed completely.

The facility currently has only one fenced in playground that they would like to share between the toddlers and preschoolers at separate times. LPA informed Facility Representatives that children must be escorted to and from the playground, and that staff must maintain direct supervision at all times to ensure the health and safety of all children. The playground measured at approximately 1,517.96 sq. ft., sufficient for only 20 children at one time. Facility is requesting to be licensed for 40 children (10 preschoolers and 30 toddlers). A playground waiver to share the playground at different times in the AM and PM due to limited outdoor space shall be submitted and approved prior to licensure. Area was observed to be fully fenced via rot iron vertical fencing that was observed to be higher than 4ft. tall. Area had a big sail canopy used for shade. Area had age-appropriate toys and play equipment for the ages served and had rubber turf placed under any equipment where a child could sustain a fall. LPA observed no play structures during inspection. Drinking water is readily accessible inside and outside the classroom via refillable water Sparkletts that the Facility Representatives stated is scheduled to replenish every two weeks. Facility Representatives were reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

LPA reviewed with Facility Representatives the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NHA-DAMON R. CARSON EARLY LEARNING ACADEMY
FACILITY NUMBER: 376701561
VISIT DATE: 03/06/2024
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LPA discussed the safe sleep regulations with Facility Representatives and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed Facility Representatives of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Facility Representatives were reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) tollfree ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Facility Representatives were informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: NHA-DAMON R. CARSON EARLY LEARNING ACADEMY
FACILITY NUMBER: 376701561
VISIT DATE: 03/06/2024
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Prior to licensure, the following is needed:
  • Make the staff restroom, storeroom, and kitchen inaccessible.
  • Submit waiver request to share the playground between the toddlers and preschoolers at separate times both in the AM and PM.

Exit interview was conducted and report was reviewed with Facility Representatives. Facility is exempt from getting their water tested for lead due to the entire building being built in 2022. A license for 40 children; 30 toddlers (ages 18-36 months) in Rooms #1, #3 and #4, and 10 preschoolers (ages 2-5 years old) in Room #2 may be granted upon receiving the above corrections and after conducting a final file review. Facility Representatives stated their understanding and that this report shall be kept available at the facility for public review for 3 years.

Due to computer malfunction, LPA will email a copy of this report along with the Notice of Site Visit and appeal rights to Mr. Carey by 5pm today. Mr. Carey is advised that his response to the email within 24 hours of receiving will act as his signature. Mr. Carey is aware that the Notice of Site Visit must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
LIC809 (FAS) - (06/04)
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