Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372000255
Report Date: 03/16/2018
Date Signed: 03/19/2018 02:30:16 PM

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:HAPPY TIME NURSERYFACILITY NUMBER:
372000255
ADMINISTRATOR:M. TESSARY / J. STARTINGFACILITY TYPE:
850
ADDRESS:6409 LAS COLINASTELEPHONE:
(858) 756-3694
CITY:RANCHO SANTA FESTATE: CAZIP CODE:
92067
CAPACITY:25CENSUS: 15DATE:
03/16/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:11 AM
MET WITH:Maryann Cox/John StartingTIME COMPLETED:
10:49 AM
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
Licensing Program Analyst, Rita MagaƱa was on site to complete an annual/random inspection. Upon arrival, I met with Co director Mary Ann; also visually supervising the children was co-director John Starting, and Adrienne Tlachac. A tour of the program's interior and exterior areas was completed. There were no bodies of water or weapons on the premises. Disinfectants, cleansers and the like were inaccessible. Poisons were locked. All toilets and hand washing facilities appeared to be in good repair. Menu (snack) was posted. Drinking water was available in and out doors. The facility has a fire extinguisher, smoke detector and carbon monoxide alarm. A random review was completed of staff and children's records. The facility, personnel report summary and sketch were reviewed. Ms. Tlachac's pediatric, CPR & First Aid training is valid until 1/4/19. No violations were observed today. To make the facility file current, please provide the Department, by 3/25/18, copies of your current LIC 500 personnel report, LIC 610 Emergency Disaster Plan, and LIC 308 Designation of Administrative Responsibilities.

THIS IS AN ELECTRONIC COPY OF A HANDWRITTEN REPORT --SEE FACILITY FILE FOR ORIGINAL SIGNATURES. The following information regarding ADA was provided: US Department Of Justice (USDOJ) toll-free ADA Information (800) 514-0301 (voice) (800) 514-0383(TTY) and link to publication: Commonly Asked Questions about Child Care Facilities and the ADA, available at: http://www.ada.gov/childqanda.htm Community Care Licensing: WEB SITE: http://www.ccld.ca.gov The report shall remain available at the facility for public review for three years. LIC 9213 was visibly posted today, for 30 days. The licensee was provided a copy of their appeal rights (LIC 9058, 12/15) and their signature on this form acknowledgers receipt of these rights. Appeals must be received with 15 days
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Rita MaganaTELEPHONE: (616) 767-2213
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2018
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 1