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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105075
Report Date: 10/13/2022
Date Signed: 10/13/2022 01:23:20 PM

Document Has Been Signed on 10/13/2022 01:23 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:EVERBROOK ACADEMY DBA PRESTIGE PRESCHOOL ACADEMYFACILITY NUMBER:
376105075
ADMINISTRATOR:AIMEE AINSWORTHFACILITY TYPE:
830
ADDRESS:7150 RANCHO SANTA FE ROADTELEPHONE:
(760) 891-0902
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 13DATE:
10/13/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:09 AM
MET WITH:Interim Director, Sherri Brown TIME COMPLETED:
11:29 AM
NARRATIVE
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On 10/13/22 at 9:09AM, an unannounced case management inspection was made by Licensing Program Analysts (LPAs) Saraliz Velando and Nancy Diaz to follow up on an incident report that occurred on 9/30/22 at approximately 4:25PM. Upon arrival, LPAs met with Interim Director, Sherri Brown. A tour of the facility was conducted and LPAs observed 13 children in care.

The facility self-reported the incident to the department by email on 10/10/22. During the incident of 9/30/22, a child was found outside his classroom door by a staff member and brought back to his classroom. According to staff, the child was missing for approximately 37 seconds.

Staff member involved was interviewed and based on the information, it appears that care and supervision was not provided resulting in a one-year old infant crawling outside of the classroom.

Type B Violation was cited.
Civil penalty is being assessed at this time for Repeat Violation.

Refer to the next page LIC 809D for deficiency citation. Facility was provided a copy of the appeal rights.

Exit interview was conducted and report was reviewed with Substitute Director, Jennifer Sweet.

A notice of site visit was given and observed posted, this notice shall remain posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 10/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2022
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 10/13/2022 01:23 PM - It Cannot Be Edited


Created By: Saraliz Velando On 10/13/2022 at 12:05 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: EVERBROOK ACADEMY DBA PRESTIGE PRESCHOOL ACADEMY
FACILITY NUMBER: 376105075

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/20/2022
Section Cited
CCR
101429(a)(1)

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Responsibility for Providing Care and Supervision for Infants
In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement was not met as evidenced by:
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Substitute Director, Jennifer Sweet, stated that they will make sure the staff is properly trained and will put that in writing. She will also ensure there is sufficient staff to cover for all breaks and lunches and they are trained for each specific classroom they are in. This written plan will be submitted to the department via email by 10/20/22.
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Based on Staff interview, on 9/30/22 a one year old child crawled out of his classroom and was unsupervised for approximately 37 seconds.
This poses a potential health and safety risk to children 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:Monica Cuddy
LICENSING EVALUATOR NAME:Saraliz Velando
LICENSING EVALUATOR SIGNATURE:
DATE: 10/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/13/2022


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/13/2022 01:23 PM - It Cannot Be Edited


Created By: Saraliz Velando On 10/13/2022 at 12:31 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: EVERBROOK ACADEMY DBA PRESTIGE PRESCHOOL ACADEMY
FACILITY NUMBER: 376105075

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
10/13/2022
Section Cited
CCR
101416.2(c)(1)(A)

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Infant Care Teacher Qualifications and Duties
(c) To be a fully qualified infant care teacher, a teacher shall have the following:
(1) Completion, with passing grades, of 12 postsecondary ...At least three of the units required in (c)(1) above shall be related to the care of infants ...
This requirement was not met as evidenced by:
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Corrected today, Interim Director Sherri Brown, replaced staff, Stephanie Saldarriaga with Tess Mackinen, who is a fully qualified infant teacher.
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Based on record review staff, Stephanie Saldarriaga has completed 9 units in ECE however, she is missing units in Infant Care and Curriculum. Ms.Saldarriaga is currently not enrolled in any ECE class.
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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:Monica Cuddy
LICENSING EVALUATOR NAME:Saraliz Velando
LICENSING EVALUATOR SIGNATURE:
DATE: 10/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/13/2022


LIC809 (FAS) - (06/04)
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