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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806443
Report Date: 11/16/2022
Date Signed: 11/16/2022 12:37:53 PM

Document Has Been Signed on 11/16/2022 12:37 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SCHOOL OF THE MADELEINE PRESCHOOLFACILITY NUMBER:
370806443
ADMINISTRATOR:JOSEFINA FENNESSEYFACILITY TYPE:
850
ADDRESS:1930 ILLION STREETTELEPHONE:
(619) 276-6545
CITY:SAN DIEGOSTATE: CAZIP CODE:
92110
CAPACITY: 45TOTAL ENROLLED CHILDREN: 59CENSUS: 38DATE:
11/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Josefina FennesseyTIME COMPLETED:
12:45 PM
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On 11/16/2022 at 10:30am, Licensing Program Analyst (LPA) Selina Siao conduct an annual inspection. Upon arrival, LPA met with Director Josefina Fennessey at the main office located across the preschool and proceeded to tour the preschool classrooms. The following ratios were observed: Sea Treasure room had 11 children supervised by Teachers Lisa Brown and Hiromi Huffman and teacher aide Samantha Armes. P4 room had 14 children supervised by teacher Mary Whiteman and teacher aide Claire Cruess. P4.2 room had 13 children supervised by teacher Elizabeth Underwood and teacher aide Carmel Stralen. Facility is within staffing ratio and all staff members have the required background clearances and are associated to the facility. All required notices, forms and license were posted. Furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation and portable drinking water from an operational water fountain are available both indoor and outdoor. Storage cubbies are readily available, and room accommodates class size. Napping equipment consists of cots which are kept in the classroom and each cot has its own sheet or covering. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Paper towels and toilet paper are available. Bathroom is lighted and has ventilation. Food service area consists of a small kitchen which is clean and free of hazards. Snack menu is posted. Adequate food is available for snacks. Children brings their own lunch to school. Cleaning supplies are not accessible to children. Outdoor play area is a fenced playground with sufficient rubber cushioning. Climbing structures, swings and slides are securely fixed to the ground. Area has large umbrella structures used for shades. Equipment is age
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE: DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/16/2022
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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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: SCHOOL OF THE MADELEINE PRESCHOOL
FACILITY NUMBER: 370806443
VISIT DATE: 11/16/2022
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appropriate and separated by age groups preschool. Outdoor area has an operational drinking fountain and grounds are free of debris or potential hazards. LPA reviewed sign in sheets, first aid supplies and reviewed medication policy and storage, all areas are within compliance. Isolation area is the nurse station at the Director's office across the street. Personnel and client records were reviewed, and staff members have the required immunizations and completed the online mandated reporter training. Reporting requirement was reviewed with the Director. LPA reviewed Emergency Disaster Plan and the last fire drill was conducted on 09/28/2022 and the last earthquake drill was conducted on 10/20/2022. Facility has an operating carbon monoxide detector. Facility has at least one staff member that has a valid EMSA approved CPR/FA when children are in care.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (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

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at https://cdss.ca.gov/inforesources/community-care-licensing/subscribe. LPA discussed California Megan's Law with provider and advised her to go on the website at www.meganslaw.ca.gov.

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/process.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2022
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: SCHOOL OF THE MADELEINE PRESCHOOL
FACILITY NUMBER: 370806443
VISIT DATE: 11/16/2022
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Facility representative 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.

The facility appears to be in substantial compliance. A notice of site visit was given and must remain posted for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00.

All unusual incident reports shall be submitted to Licensing office via email at SDIncidentReports@dss.ca.gov or via fax at (619)767-2203.

Exit interview conducted and report was reviewed with the Director.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2022
LIC809 (FAS) - (06/04)
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