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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700080
Report Date: 08/12/2022
Date Signed: 08/12/2022 10:31:58 AM

Document Has Been Signed on 08/12/2022 10:31 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CARLSBAD EDUCATIONAL FOUNDATION - JEFFERSON ELEM.FACILITY NUMBER:
376700080
ADMINISTRATOR:LYNNE LARUSSAFACILITY TYPE:
840
ADDRESS:3743 JEFFERSON STREETTELEPHONE:
(760) 331-5525
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 0DATE:
08/12/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Jennifer RodriguezTIME COMPLETED:
10:45 AM
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On 08/12/2020 at 9:30am, Licensing Program Analyst (LPA) Samantha Clenista conducted an unannounced case management site inspection. Upon arrival, LPA met with Jennifer Rodriguez, Area Manager. The purpose of this visit is to address facility's request to change rooms. The program is currently licensed to care for children in Rooms 703, 704, 705, 706, 708 and 709. Facility has requested to operate in the following rooms: 803, 804, 805, 806 and auditorium. Fire clearance was granted for only rooms 804 and 805 as the other rooms are undergoing construction. Fire clearance for room 804 and 805 was granted on 08/11/20222. There were no children present during inspection as school does not start until 08/24/2022.

Room 804 and 805 were inspected during this visit. There is one sink and one drinking faucet in each classroom. There is a carbon monoxide detector located in Room 804. Drinking water is readily accessible via drinking fountains and refillable water jugs inside and outside the classrooms. Age-appropriate supplies and furniture were observed available in the indoor activity space, however rooms were not fully set up as school does not start until 08/24/22, and some renovations (paint and organization of furniture and toys) needs to be done prior to having any children in the new rooms. There are several bathrooms on campus for the children which include toilets and sinks and afford privacy. There is a separate staff restroom. Children will be escorted to/from the bathrooms at all times. The playground to be used is the elementary school playground/grassy field area, which has age-appropriate play equipment and plenty of space and fencing (during school hours). The classrooms and outdoor play area were not measured as the program is exempt from square footage requirements as long as they are certified by the principal for use as classrooms during the day. Food preparation for snacks will be done in the classrooms.

See 809-C for continuation...
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE: DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/12/2022
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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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: CARLSBAD EDUCATIONAL FOUNDATION - JEFFERSON ELEM.
FACILITY NUMBER: 376700080
VISIT DATE: 08/12/2022
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Isolation for ill children is located in the nurses office or if not available, a small area within the classroom away from the other children. Cleaning supplies and other toxins are inaccessible to children through latches, locks and/or placed on high surfaces. Ms. Rodriguez is reminded to keep anything that reads, “Keep Out of Reach of Children” inaccessible to children.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov and click on “Receive Important Updates,” then enter your email address and choose which program(s) you would like to subscribe to and click “subscribe.”

A license for 120 children (transitional kinder thru 12 years old) in rooms 804 and 805 is granted and effective today’s date, 08/12/2022. In addition, prior to having children in the above classrooms, Ms. Rodriguez stated she will provide LPA with pictures of both rooms fully set up with furniture and no construction materials/boxes. Exit interview was conducted with Ms. Rodriguez. This report shall be kept available at the facility for public review for 3 years.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2022
LIC809 (FAS) - (06/04)
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