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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105075
Report Date: 04/10/2023
Date Signed: 04/10/2023 11:07:23 AM

Document Has Been Signed on 04/10/2023 11:07 AM - 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: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: DATE:
04/10/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:24 AM
MET WITH:District Manager, Tammi RelifordTIME COMPLETED:
10:55 AM
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On 04/10/23 at 10:24am, Licensing Program Analyst (LPA), Saraliz Velando and Licensing Program Manager (LPM), Monica Cuddy conducted an Office Meeting in the San Diego Child Care Regional Office to discuss the facility's recent citations issued. Meeting was conducted with the Everbrook District Manager, Tammi Reliford and Everbrook Director, Patricia Munoz.

The following are four Case Management-Deficiency visits:

2/28/23 - 101223(a)(2) Personal Rights- Licensee did not make sure the correct
baby bottle was given to the correct infant. (Type A)

12/14/22 – 101416.5(b) Staff-Infant Ratio - Infant room ratio was observed to be 2:9,
nine infants supervised with two staff. (Type B)

10/13/22 -102429(a)(1) Responsibility for Providing Care and Supervision for
Infants- Child crawled out of his classroom and was unsupervised. (Type B)

9/14/22 - 102429(a)(1) Responsibility for Providing Care and Supervision for Infants - Infant was left behind at the playground area. (Type B)


(See 809-C)
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 04/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/10/2023
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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: EVERBROOK ACADEMY DBA PRESTIGE PRESCHOOL ACADEMY
FACILITY NUMBER: 376105075
VISIT DATE: 04/10/2023
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LPM Cuddy discussed with Facility Representatives the above deficiencies. Facility representatives were provided the following resources: A link to the Care Tool was provided https://cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/inspection-process-project/care-tools, A Technical Support Program (TSP) brochure, for questions related to the TSP, email: childcaretechnicalsupport@dss.ca.gov, active supervision handout, ccld.childcarevideos.org, provided a copy of the children’s personal rights and the most recent Quarterly Update. Advocate information was provided: (714)-703-2800 or childcareadvocatesprogram@dss.ca.gov, sdincidentreports@dss.ca.gov and the Duty Line (619)-767-2248. Licensee agreed to be referred to TSP. Licensee was reminded that LPA requested the following items to complete the Director packet for Patricia Munoz: a corrected LIC503, transcript from University of Riverside, LIC200A, and clear copy of transcript from Mt. San Jacinto College. Licensee was informed that the department will be conducting follow up inspections in the coming months to ensure compliance with regulations is maintained.

Facility Representatives were informed that repeated violations or failure to comply with licensing laws and regulations may result in administrative action taken by the Department. Facility Representatives, Tammi Reliford and Patricia Munoz stated they understood and will ensure the facility complies with all regulations and laws governing Child Care Centers.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2023
LIC809 (FAS) - (06/04)
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