Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600238
Report Date: 05/09/2017
Date Signed: 05/09/2017 06:03:20 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:LITTLE STEPS CHRISTIAN PRESCHOOLFACILITY NUMBER:
376600238
ADMINISTRATOR:HAGEN, ELISABETHFACILITY TYPE:
850
ADDRESS:6551 SOLEDAD MT. ROADTELEPHONE:
(858) 551-7780
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:60CENSUS: 57DATE:
05/09/2017
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
12:46 PM
MET WITH:Elisabeth HagenTIME COMPLETED:
03:00 PM
NARRATIVE
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Licensing Program Analyst Tulam Vu conducted a required inspection. Met with Center Director Elisabeth Hagen. The facility operates Monday-Friday from 7:00 am to 6:00 pm.

The indoor and outdoor of the facility was inspected. Room #2 had 16 children with 2 fully qualified teachers. Room #5 had 22 children with 3 fully qualified teachers. Room #6 had 19 children with 2 fully qualified teachers. The facility operates within licensed capacity and ratio limitations. Children were observed to be under visual supervision. The classroom and restrooms have adequate lighting, heating, and ventilation. All floors appeared to be safe and clean. Furniture, children's cubbies, toys and napping equipment (cots) appeared to be in good condition. Trash cans have tight-fitting cover. Disinfectants, cleaning solutions and other hazardous items are stored behind latched cabinets. Medication policies and procedures were reviewed. Menu is posted one week in advance. All food were inspected and protected from contamination. Sign in/out sheets were reviewed showing parent/guardian’s signature and time of day recorded. The kitchen and storage areas appeared to be clean. The surface of the outdoor activity space is maintained in a safe condition with sufficient shade. Drinking water are available inside the classrooms and outdoor play area. There are no bodies of water and weapons present on the premises. The last fire drill was conducted on documented on 4/12/17. The director's office is designated for use by children who are ill. A sample of the children's records, including medical assessment and identification & emergency information were reviewed. Staff's records and transcripts were reviewed to verify teacher qualifications and experiences. Opening and closing staff members have current CPR and First Aid certifications. A review of staff records on 05/09/2017 indicated that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Continuation on page 2.
SUPERVISOR'S NAME: Carol AugustTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Tulam VuTELEPHONE: 619-767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2017
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: LITTLE STEPS CHRISTIAN PRESCHOOL
FACILITY NUMBER: 376600238
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2017
Section Cited
101229.1(a)(1)
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Sign in & Sign Out. The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. There are a total of 57 children present with only 45 signed in. This poses a potential health and safety risk to the clients in care.
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Director Hagen stated that a new policy/procedure will be implemented and provided to all families currently enrolled regarding sign in/out requirements. Facility will submit plan of correction to the Licensing Agency by 05/15/2017.
Type B
05/15/2017
Section Cited
101226(e)(2)
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Health-Related Services:
- LPA observed an epi-pen stored in the medication box expired December 2016.
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Director Hagen stated the epi-pen will be returned to the parent and she will develop and implement a written plan to include new policy and procedure to ensure all medications are being followed as required in regulations. The plan of correction will be submitted to Licensing Agency by 05/15/2017.
Type B
05/15/2017
Section Cited
101239.1(c)(2)
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Napping Equipment:
- Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding.
- Children's sheets in room #5 and in the back hallway are observed not stored individually. This poses a potential risk to the Health & Safety of clients in care.
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Director Hagen stated children's sheets will be stored individually in each child's cubby. Photos will be submitted to the Licensing Agency by 05/15/2017.
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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.
SUPERVISOR'S NAME: Carol AugustTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Tulam VuTELEPHONE: 619-767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2017
LIC809 (FAS) - (06/04)
Page: 3 of 3


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: LITTLE STEPS CHRISTIAN PRESCHOOL
FACILITY NUMBER: 376600238
VISIT DATE: 05/09/2017
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed and a plan of operation will be submitted to the Licensing Agency by June 9, 2017. 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

The director was provided information on SIDS and Shaken Baby Syndrome.

Refer to the next page LIC 809D for deficiency citations. Facility was provided a copy of the appeal rights form LIC 9058 and the signature on this form acknowledges receipt of these rights.

Please update form LIC 308, LIC 309, board resolution, LIC 500, LIC 610 and staff's handbook to the Licensing Agency by May 31, 2017.

The Notice of Site Visit (LIC 9213) was provided to be posted at the facility for 30 days. LPA observed form LIC 9213 posted. An exit interview was conducted.
SUPERVISOR'S NAME: Carol AugustTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Tulam VuTELEPHONE: 619-767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2017
LIC809 (FAS) - (06/04)
Page: 2 of 3