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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101528
Report Date: 06/28/2024
Date Signed: 06/28/2024 06:44:37 PM

Document Has Been Signed on 06/28/2024 06:44 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ESPINOSA, LEONIE FAMILY CHILD CAREFACILITY NUMBER:
376101528
ADMINISTRATOR/
DIRECTOR:		LEONIE ESPINOSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 435-9372
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
06/28/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:50 PM
MET WITH:Leonie EspinosaTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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On June 28, 2024, at 3:50 PM., Licensing Program Analyst Sherlynn Banas conducted a case management visit at the facility. The initial purpose was to do deliver an amended report. LPA was greeted by helper, Elizabeth Barr. There were 3 children present at the daycare. The licensee was not present at the time of inspection.

LPA Banas checked helper's CPR/FA and was not the approved and required provider. It is a Type B as reflected in the 809D.

Licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. “

Exit interview conducted and report was reviewed with the licensee, Leonie Espinosa.

A notice of site visit was given to licensee, Leonie Espinosa and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE: DATE: 06/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/28/2024
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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Document Has Been Signed on 06/28/2024 06:44 PM - It Cannot Be Edited


Created By: Sherlynn Banas On 06/28/2024 at 06:17 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ESPINOSA, LEONIE FAMILY CHILD CARE
FACILITY NUMBER: 376101528

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/28/2024
Section Cited
HSC
102416(c)

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The licensee and other personnel as specified shall complete training on preventative health practices...and pediatric aid pursuant to health and safety code section 1596.866.
The requirement was not met as evidenced by:
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Licensee, Leonie Espinosa stated that she will not allow E.B (helper) to be supervising children by herself starting July 1, 2024.
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Licensee's helper was left alone with children with a CPR/FA which is not the required /specified CPR/FA training. She was supervising children which poses a potential safety or personal rights risk to person in care
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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:Tashima Daniel
LICENSING EVALUATOR NAME:Sherlynn Banas
LICENSING EVALUATOR SIGNATURE:
DATE: 06/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/28/2024


LIC809 (FAS) - (06/04)
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