Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700244
Report Date: 09/29/2015 12:00:00 AM
Date Signed: 09/29/2015 11:48:16 AM

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 COUNTRY DAY SCHOOL-INFANTFACILITY NUMBER:
376700244
ADMINISTRATOR:REED-MURPHY, MELISSAFACILITY TYPE:
830
ADDRESS:5150 HEMINGWAY DRIVETELEPHONE:
(760) 804-0550
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:30CENSUS: 13DATE:
09/29/2015
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Director Melissa Reed MurphyTIME COMPLETED:
10:45 AM
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(3) Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of a random annual inspection. During this visit there were 13 children with four staff. Facility is within ratio and capacity.

The furniture and toys, both inside and out, are safe, age-appropriate and in good repair. The room is partitioned into infant and toddler areas with a separate napping room. There is adequate heating, lighting and ventilation, are clean and orderly, and are free of hazards. When in use, infant changing tables are within arm’s reach of a sink. All storage containers and trashes have tight fitting covers are in good repair. Food service area consists of a kitchen which is clean and free of hazards, with food stored in covered containers at 45 degrees or less and the menu is posted. All infant foods/beverages are labeled/dated and stored per regulation in the infant room refrigerator. All hazardous items are stored where they are inaccessible to children. The outdoor play area is fenced, has sufficient cushioning and adequate shade and is separate from the preschool playground. There are no bodies of water, firearms or ammunition on the property. There is no evidence of rodent or insect activity. There is at least one staff present with a current CPR and First Aid certification. Sign in/out sheets were reviewed. Infant Needs and Services Plans and individual feeding plans were on file for all infants. Personnel records and educations qualifications, to include infant units. A sample of children's records were reviewed for emergency information a medical assessment. LPA discussed SIDS, Shaken Baby Syndrome and Incidental Medical Services. Facility has a Plan of Operation in place and will revise/update as needed. Licensee is reminded that baby walkers, jumpers, bouncers and exersaucers are not allowed on the premises. 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: 09/29/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2015
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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