Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700244
Report Date: 09/06/2018
Date Signed: 09/06/2018 04:03:07 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 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: 16DATE:
09/06/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Assistant Director Bailey ChoiTIME COMPLETED:
04:10 PM
NARRATIVE
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Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of a random annual inspection. . During this visit there were 16 infants/toddlers with four teachers and three Aides Facility is within ratio and capacity. Program operates 6 a.m. to 6 p.m. Monday thru Friday.

The furniture and toys, both inside and out, are safe, age-appropriate and in good repair. The rooms have adequate heating, lighting and ventilation, are clean and orderly, and are free of hazards. Infant changing tables have padded washable vinyl at least one inch thick with sides raised at least 3 inches, per regulation and 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 per regulation and the menu is posted. Infant food is stored in the infant refrigerator, dated and labeled. 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 other programs. The carbon monoxide detector is operational. There is no evidence of rodent or insect activity. There are several staff present with a current CPR and First Aid certification. Sign in/out sheets were reviewed. Infant Needs and Services Plans were on file for all infants. LPA reviewed a sample of personnel records for qualifications and a sample of children's records for emergency information. Staff Immunization requirements have been met. SIDS was discussed and Child Care Providers Guide to Safe Sleep Handout was provided. Mandated Reporter Training (AB 1207) was discussed and can be accessed via the following link: www.mandatedreporterca.com.

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)
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2018
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: CARLSBAD COUNTRY DAY SCHOOL-INFANT
FACILITY NUMBER: 376700244
VISIT DATE: 09/06/2018
NARRATIVE
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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. No services were in place today.

Southern California Child Care Advocate: Jane Cong-Huyen 714-703-2800. Contact to be placed on an email list for updated regulation information.


See LIC 809D for Type B deficiency. Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt.


NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2018
LIC809 (FAS) - (06/04)
Page: 2 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: CARLSBAD COUNTRY DAY SCHOOL-INFANT
FACILITY NUMBER: 376700244
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/06/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/04/2018
Section Cited
HSC
1597.622(a)(1)
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Health and Safety code requires that all licensees complete Mandated Reporter Training by 3/30/18. This requirement was not met as evidenced by the licensee's admission that she has not take then training. This requirement has not been met and this determination is based upon
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Assistant Director indicates that all staff and volunteers will complete the training and copies of the Certificates of Completion will be sent to Licensing by the plan of correction date of 10/4/18 as verification of correction.
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conversation with the Assistant Director indicating that they were unaware of the new law and staff had not completed the requirement. This is a potential hazard to children in care if not corrected.
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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: Carl SheltonTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2018
LIC809 (FAS) - (06/04)
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