Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700882
Report Date: 07/16/2019
Date Signed: 07/16/2019 12:58:05 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:SAINT PATRICK PRESCHOOLFACILITY NUMBER:
376700882
ADMINISTRATOR:EUGENIA GOMEZFACILITY TYPE:
850
ADDRESS:3583 30TH STREETTELEPHONE:
(619) 487-9538
CITY:SAN DIEGOSTATE: CAZIP CODE:
92104
CAPACITY:29CENSUS: 15DATE:
07/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Eugenia GomezTIME COMPLETED:
01:30 PM
NARRATIVE
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LPAs Nancy Diaz and Katurah Lane conducted an unannounced annual site inspection today. LPA met and toured the facility with Eugenia Gomez, Site Director. All required notices, forms and license were posted in an area visible to the parents or authorized person. There were 15 children present today with staff Victoria Laughter, Priscilla Lugo and Eugenia Gomez.
There were no bodies of water observed present within the premises. Ms. Gomez stated that they do not maintain weapons or firearms. All children are under supervision, including visual observation, of a teacher at all times. There is a ratio of one teacher supervising no more than 12 children in attendance. Disinfectants, cleaning solutions and other items that are dangerous to children are inaccessible. Medications are in a safe place inaccessible to children. Furniture and playground equipment are kept in good condition, free of sharp, loose or pointed parts. All toilets and handwashing facilities are safe and working in sanitary conditions. Uncontaminated drinking water is available both indoors and out. Menus are posted at least one week in advance, where an authorized representative can view them.
Licensee operates the facility within the conditions, limitations and capacity specified on the license. Staff records contain appropriate documentation of education credits. At least one person trained in CPR and Pediatric First Aid is present. Child’s admission agreement is available for review. Child is signed in/out by the person responsible for the child. A handout was provided to the director today on “Effects of Lead Exposure”. Director shall provide a copy of this handout to all the daycare parents.
A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances.

TYPE B DEFICIENCIES WERE CITED TODAY. Type B violation if not corrected, could become a risk to the health, safety, or personal rights of children in care.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019
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: SAINT PATRICK PRESCHOOL
FACILITY NUMBER: 376700882
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/16/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/20/2019
Section Cited
CCR
101238.2
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As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.
This requirement was not met as evidenced by LPAs' observation. The newly installed dome climbing structure that stands approx. 3 ft. did not have cushioning underneath.
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Ms. Gomez stated that she will not allow children to use the climbing structure and remove the equipment by Saturday, July 20, 2019. Ms. Gomez will submit a photo to show that the equipment was removed no later than July 26, 2019.
Type B
07/26/2019
Section Cited
HSC
1975.543
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Every child care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12.
This requirement was not met as evidenced by LPAs' observation. Facility did not maintain a carbon monoxide on site.
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Ms. Gomez stated that she will obtain a carbon monoxide no later than July 20, 2019. A photo of store receipt and installed carbon monoxide detector to be submitted to the department no later than July 26, 2019.
Type B
07/26/2019
Section Cited
HSC
1596.7995
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. Effective September 1, 2016, a person may not be employed or volunteer at a child care center unless he or she has been immunized against influenza, pertussis, and measles.
This requirement was not met as evidenced by LPAs' review of staff files. Staff Victoria Laughter & Sandy Lopez did not have proof of being immunized against Pertusis, Measles or Influenza.
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Ms. Gomez shall obtain staff immunization records and submit copies to the department no later than July 26, 2019,
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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: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019
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: SAINT PATRICK PRESCHOOL
FACILITY NUMBER: 376700882
VISIT DATE: 07/16/2019
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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


Ms. Gomez shall submit an updated LIC 500 (Personnel Report) to the department no later than July 31, 2019.

Ms. Gomez will email all plan of corrections to the analyst, Nancy.Diaz@dss.ca.gov.

LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative states it is understood that this notice must be posted for 30 days.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019
LIC809 (FAS) - (06/04)
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