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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105199
Report Date: 06/03/2025
Date Signed: 06/03/2025 12:27:28 PM

Document Has Been Signed on 06/03/2025 12:27 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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:NHA - KAREN D. LOVE HEAD STARTFACILITY NUMBER:
376105199
ADMINISTRATOR/
DIRECTOR:
GLORIA PAZOSFACILITY TYPE:
860
ADDRESS:2230 EAST JEWETT STREETTELEPHONE:
(858) 433-6505
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY: 75TOTAL ENROLLED CHILDREN: 67CENSUS: 62DATE:
06/03/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Gloria Pazos TIME VISIT/
INSPECTION COMPLETED:
12:40 PM
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On 6/3/2025 at 9:00am, Licensing Program Analysts (LPAs), Selina Siao and Adriana Macias conducted an announced Pre-Licensing inspection by converting the current licensed preschool facility with facility number 376105014 to a new single license. Upon arrival, LPAs met with Associate Vice President of Operations Rodney Carey, Area Manager Lisa Grygera and Site Supervisor Gloria Pazos. Applicant is requesting to be licensed for 12 infants (ages 0 to 24 months) in rooms #2 and #3, 8 toddlers (ages 18 to 36 months) in room #1 and 55 preschool children (ages 3 to 5 years old) in rooms #4, and #5. Hours of operation will be Monday to Friday 7am to 5pm.

All indoor and outdoor activity space utilized for the children was inspected today. LPAs informed Area Manager Lisa Grygera and Site Supervisor Gloria Pazo that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Gloria Pazo stated that they will be in the individual’s child’s room. A fully equipped first aid kit are in each room inside the red backpacks. There is an operational carbon monoxide detector on site located in each classroom. All required licensing documents were observed posted in the front lobby area by the front door. Children will be signed in and out at inside each classroom.

LPAs continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space measured to be 636.78 square feet (infants), 290 square feet (toddlers) and 1830.59 square feet (preschoolers). The infant and toddler indoor areas are sufficient to accommodate the requested capacity of 12 infants and 8 toddlers but the indoor activity space for the preschool is only sufficient to accommodate up to 52 children. LPAs observed all indoor activity space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, cribs, napping cots for toddler and preschool and infants who can climb out of a crib, bookshelves, and other activity supplies for the children. Toys are safe with no sharp edges, splinters, or points, nor made of small parts that can present a choking hazard. Drinking water is
NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Selina Siao
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NHA - KAREN D. LOVE HEAD START
FACILITY NUMBER: 376105199
VISIT DATE: 06/03/2025
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available in the classrooms via a water dispenser with plastic cups. LPAs observed all hazardous items to be inaccessible to children. Facility representatives stated that there are no bodies of water or weapons on the property. However, there is a Noonan indoor swimming school located next to the facility. Fire clearance was granted on 3/13/2025.

Infant seats are in good repair and trays lock onto chairs. Chairs are made of washable, moisture-resistant material. Changing tables have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing. Cribs meet regulatory requirements. Crib area is separated from activity space via a half wall and Plexi-glass in room #3. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. Sleep logs are kept in the infant and toddler classrooms. Needs and Services Plans and Individual Sleep Plans will be kept in the child’s file.

There shall be at least one potty chair for every five potty training infants. LPAs observed a total of 3 sinks available for the infant components, 2 sinks and 1 toilet for the toddler component and 4 sinks and 5 toilets for the preschool components. These are sufficient to accommodate the requested capacity. There are two separate staff restrooms equipped with 2 toilets and 2 sinks. The isolation area for children who are ill will be the Director’s office and the staff’s restroom.



Facility will provide breakfast, AM/PM snacks and lunch to the children through the NHA central kitchen. The kitchen area currently includes two refrigerators, stove, oven, sink and a food warmer. The kitchen area and food storage areas were observed to be free of rodents and/or vermin. Food was observed to be properly stored separate from cleaning materials. The food and snacks are delivered to the facility daily from the central kitchen. Hazardous items in kitchen are inaccessible to children.

The facility currently has a fully fenced playground area which is separate from other components. Fencing via chain link is four feet high. The total square footage for all the preschool outdoor activity space was previously measured to be 2939 square feet, which is only sufficient to accommodate up to 39 children at one time. A playground waiver to share the playground at different times in the AM and PM due to limited square footage shall be submitted and approved prior to licensure. LPAs remeasured the infant/toddler shared playground and it measured to be 1358.89 square feet, which is sufficient to accommodate the requested capacity of 12 infants and 8 toddlers.
NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Selina Siao
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NHA - KAREN D. LOVE HEAD START
FACILITY NUMBER: 376105199
VISIT DATE: 06/03/2025
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A playground waiver for the infants and toddlers to share the playground in the AM and PM shall be submitted as the facility does not have a separate playground for the toddler component. Shade is provided via large sail shade structure, canopy, trees and the building. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a climbing structure on the infant toddler playground that appears to be age appropriate for toddlers only. The preschool playground does not have a climbing structure. There is adequate cushioning in fall zones of climber provided by turf in the infant/toddler yard. Drinking water is available via the portable water jugs and plastic cups when children are outside. LPAs observed all hazardous items on the playground to be inaccessible to children. Facility representatives were reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

Facility representatives were reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. “



LPAs reviewed with facility representatives the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

LPAs discussed the safe sleep regulations with facility representatives and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed [applicant, licensee, or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.”

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Selina Siao
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NHA - KAREN D. LOVE HEAD START
FACILITY NUMBER: 376105199
VISIT DATE: 06/03/2025
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Facility representatives were informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. “

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

The following corrections are needed prior to the issuance of the license:

· Submit the two playground waivers to the department and obtain approval from the department.

· Add a second gate door for the children to enter the preschool playground without going through the front door for the safety of the children due to the swimming school located next door.

Area Manager Lisa Grygera and Director Gloria Pazo understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.

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



Exit interview conducted and report was reviewed with the facility representatives Lisa Grygera and Gloria Pazo.
NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Selina Siao
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
LIC809 (FAS) - (06/04)
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