<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105023
Report Date: 06/03/2021
Date Signed: 06/03/2021 12:32:34 PM

Document Has Been Signed on 06/03/2021 12:32 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CHILDREN'S CHOICE ACADEMYFACILITY NUMBER:
376105023
ADMINISTRATOR:KRISTEN GEORGEFACILITY TYPE:
850
ADDRESS:9748 LOS COCHES ROAD, SUITE 12TELEPHONE:
(619) 561-1178
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY: 74TOTAL ENROLLED CHILDREN: 0CENSUS: 54DATE:
06/03/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Kristen GeorgeTIME COMPLETED:
10:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 6/3/2021 @ 9:10AM, LPA Nancy Diaz conducted an unannounced inspection. LPA met with Kristen George. Observed present today were 54children. A tour of the facility was conducted. There are four classrooms designated for the preschool children. Program operates Monday-Friday/6:00AM to 6:00PM.
Census observed today in the following classrooms:
Owls with 14 children and staff Adriana Torres & Hayfaa Alsaad
Ladybugs with 11 children and staff Theresa Zawacki
Frogs with 12 children and staff Shannon Henry
Caterpillars with 17 children and staff Rachel Howard & Victoria Cagney

A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. The licensee has not exceeded the conditions, limitations and capacity specified on the license. At least one person is trained in CPR and Pediatric First aid was present today.

Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible. Medications are kept in a safe place, inaccessible to children. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. All toilets, handwashing facilities are in safe and sanitary operating condition. All floors are clean and safe. The child care center was observed to be clean, safe, sanitary and in good repair to ensure the safety and well-being of children, employees and visitors. Facility maintains a carbon monoxide detector that meet the standards established in Chapter 8 of Part 2 of Division 12.

CONTINUED....
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 06/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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: CHILDREN'S CHOICE ACADEMY
FACILITY NUMBER: 376105023
VISIT DATE: 06/03/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The kitchen, food-preparation and storage areas are kept clean, free of litter. Food are protected against contamination. All storage containers for solid waste have a tight-fitting covers that are kept on and in good repair.

Playground equipment was observed to be in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space are maintained in safe condition and free of hazards.

Facility was observed to be within ratio. An isolation area has been designated for children who becomes ill during the day.

Children’s records were reviewed today. All required forms were on file. Menus are posted in a place visible by the child’s authorized representative. All children are signed in/out by a representative who uses a full legal signature and has recorded the time of day. Child’s record also contain a medical assessment.

Staff records reviewed today contain a health screening as required by the regulation.

An exit interview was conducted with Ms. George. LPA provided Ms. George a copy of Appeal Rights (LIC9058). The Notice of Site Visit (LIC9213) must remain posted for 30 days.

TYPE B DEFICIENCIES WERE CITED. Type B violation if not corrected, is a potential risk to the health, safety, or personal rights of children in care.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 06/03/2021 12:32 PM - It Cannot Be Edited


Created By: Nancy Diaz On 06/03/2021 at 11:37 AM
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: CHILDREN'S CHOICE ACADEMY
FACILITY NUMBER: 376105023

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2021
Section Cited
CCR
101216.1(c)(1)

1
2
3
4
5
6
7
TEACHER QUALIFICATION. Twelve post-secondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades...
1
2
3
4
5
6
7
Ms. Kristen stated that she will have Shannon Henry register to complete a curriculum class no later than 6/14/2021. Ms. Kristen will submit a request for an exception to allow Shannon Henry to be in the Preschool room pending completion to curriculum units.
8
9
10
11
12
13
14
This requirement was not met as evidence by LPA's review of staff file.

Staff Shannon Henry is missing units in curriculum in Early Childhood Education.
8
9
10
11
12
13
14
Type B
06/14/2021
Section Cited
HSC1596.8662(4)(b)(1)

1
2
3
4
5
6
7
Child care provider, administrator or employee of a licensed child care center shall complete the mandated reporter training and shall be renewed every two years.
1
2
3
4
5
6
7
Ms. Kristen will have staff complete the Mandated Reporter course and submit a proof of completion no later than 6/14/2021.
8
9
10
11
12
13
14
This requirement was not met as evidenced by LPA's review of staff file. Staff Hayfaa Alsaad does not have proof of mandated reporter training.
8
9
10
11
12
13
14
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:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 06/03/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/03/2021


LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 06/03/2021 12:32 PM - It Cannot Be Edited


Created By: Nancy Diaz On 06/03/2021 at 11:59 AM
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: CHILDREN'S CHOICE ACADEMY
FACILITY NUMBER: 376105023

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2021
Section Cited
HSC
1596.7995

1
2
3
4
5
6
7
A person shall not be employed or volunteer at a daycare center if he or she has not been immunized against influenza, pertussis and measles.
1
2
3
4
5
6
7
Ms. George will obtain and submit a copy of Hayfaa Alsaad immunization record no later than 6/14/2021.
8
9
10
11
12
13
14
This requirement was not met as evidenced by LPA's review of staff record.

Staff Hayfaa Alsaad did not have proof of being immunized against influenza, pertussis or measles.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 06/03/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/03/2021


LIC809 (FAS) - (06/04)
Page: 4 of 4