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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105075
Report Date: 12/14/2022
Date Signed: 12/14/2022 04:02:29 PM

Document Has Been Signed on 12/14/2022 04:02 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: 17DATE:
12/14/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Acting Director, Sherri BrownTIME COMPLETED:
11:15 AM
NARRATIVE
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On 12/14/22, Licensing Program Analysts (LPAs), Saraliz Velando and Selina Siao, conducted a Case Management inspection. Acting Director, Sherri Brown was present at the facility. LPAs toured the facility and there were 17 children total and 4 staff. The following ratio was observed in the Infant room 9 infants supervised with the two staff present, Sherri Brown and Julissa Corona. The following ratio was observed playing outside as part of the Toddler Room 8 toddlers with staff members Michelle Dossett and Elizabeth Angeles.

Type B deficiency was cited today.

Refer to the next page LIC 809-D for type B deficiency citation.

An exit interview was conducted with Sherri Brown and appeal rights were provided. A notice of site visit was provided, and it must be posted at the facility for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 12/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2022
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 2
Document Has Been Signed on 12/14/2022 04:02 PM - It Cannot Be Edited


Created By: Saraliz Velando On 12/14/2022 at 02:26 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: 12/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/14/2022
Section Cited
CCR
101416.5(b)

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Staff-Infant Ratio -
(b) There shall be a ratio of one teacher for every four infants in attendance.

This requirement was not met as evidenced by:
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Acting Director, Sherri Brown will submit a statement explaining that if she does not have enough staff to remain in ratio, she will not accept children to cause the facility to be over ratio.
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Based on observation and staff interviews, the Infant room ratio was observed to be 2:9, nine infants supervised with two staff. This poses a potential risk to the health and safety of 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: 12/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2022


LIC809 (FAS) - (06/04)
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