Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700083
Report Date: 01/21/2016
Date Signed: 01/21/2016 03:38:10 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:CARLSBAD EDUCATIONAL FOUNDATION-AVIARA OAKS ELEM.FACILITY NUMBER:
376700083
ADMINISTRATOR:KATHY WALKERFACILITY TYPE:
840
ADDRESS:6900 AMBROSIA LANETELEPHONE:
(760) 331-6028
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:110CENSUS: 87DATE:
01/21/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Director Kathy BakerTIME COMPLETED:
03:40 PM
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(1) Licensing Program Analyst, Joelle Redding, met with Director Kathy Baker for the purpose of an unannounced random annual inspection. There were 87 children present with 7 teachers and 2 Aides as follows: Room 901: 25 middle school children with two teachers; Room 904: 21 1st and 2nd graders with two teachers and an Aide; Room 912: 23: 3-5th graders with Director, Teacher and an Aide; Room 913: 18 kindergarteners with two teachers. Facility is within ratio and capacity. White boards for student count have been implemented since LPA's visit and Director intends to employ walkie talkies for communication.

LPA toured the rooms. The furniture and equipment, both inside and out, are safe, age-appropriate and in good repair. All rooms have adequate heating, lighting and ventilation, are clean and orderly, and free of hazards. All storage containers and trashes have tight fitting lids and are in good repair. Facility provides afternoon snack and the menu is posted. Facility uses nearby school bathrooms. The toileting areas are in a safe, sanitary and in operating condition with appropriate supervision provided. Any medications are kept in a safe place, inaccessible to children. There are no medications used at this time. Poisons disinfectants, cleaning solutions and other items that are dangerous to children have been made inaccessible. There is no evidence of rodent or insect activity. Outdoor play area is fully fenced with sufficient cushioning and shade. No hazards were noted. School water fountains are used outdoors. There are no bodies of water, firearms or ammunition on the property. LPA reviewed, sign in/out sheets, a sample of personnel records for a health screening and a sample of children's records for emergency information. There is several staff present with current CPR and First Aid certification. Isolation area is a quiet area of the kindergarten room, away from other children. Supervision, Staffing, Records and Incidental Medical Services were discussed. No services are in place at this time. No deficiencies are cited.

My CCL Web Portal: www.myccl.ca.gov Community Care Licensing WEB SITE: http://www.ccld.ca.gov/

NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2016
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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