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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700084
Report Date: 08/13/2025
Date Signed: 08/22/2025 01:06:26 PM

Document Has Been Signed on 08/22/2025 01:06 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:CARLSBAD EDUCATIONAL FOUNDATION - MAGNOLIA ELEM.FACILITY NUMBER:
376700084
ADMINISTRATOR/
DIRECTOR:		SAIRA SALAZARFACILITY TYPE:
840
ADDRESS:1905 MAGNOLIA AVENUETELEPHONE:
(760) 331-5601
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY: 90TOTAL ENROLLED CHILDREN: 105CENSUS: 0DATE:
08/13/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:50 PM
MET WITH:Area Manager, April SmithTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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This is an Amended Document from the original on 8/13/25.

On 8/13/25, Licensing Program Analyst (LPA), Saraliz Velando conducted an unannounced Annual Inspection with a Case Management inspection for Increase in Capacity and Adding Rooms. Licensee’s total capacity will increase from 90 to 140 School Age children. Upon arrival, LPA met with Area Manager, April Smith. Licensee is adding rooms #304, #305, and Multipurpose Room. Facility’s hours of operation are Monday to Friday from 7:00am to 6:00pm. There were no children present during today’s inspection. LPA inspected the rooms to be used.

Furniture and age-appropriate equipment is in good condition. Rooms have adequate heating, lighting, and ventilation. Floors appear to be clean and safe. Safe drinking water is readily accessible. Bathrooms are maintained with operational toilets and faucets. Paper towels and toilet paper are available. Bathrooms are lighted and have ventilation. Facility serves only snacks in the outdoor picnic area. Food service area consists of a refrigerator, which is clean and free of hazards and located in Room #304. Facility representative was advised to ensure that all snacks are stored in sealed and dated containers. Snack menu is posted. Cleaning supplies are kept separate from food and are inaccessible to children.
NAME OF LICENSING PROGRAM MANAGER: Joelle Redding
NAME OF LICENSING PROGRAM ANALYST: Saraliz Velando
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2025
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: CARLSBAD EDUCATIONAL FOUNDATION - MAGNOLIA ELEM.
FACILITY NUMBER: 376700084
VISIT DATE: 08/13/2025
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Facility representative was reminded to ensure that all storage containers for solid waste have tight-fitting covers. Storage areas for poisons are locked. Facility representative stated there are no firearms or other weapons on the premises. All foods/beverages are stored in covered containers or individually wrapped. The facility appears to be free of insects and rodents. There is an operational carbon monoxide detector at the facility. Facility has 2A10BC fire extinguisher that meets regulations. Fire clearance was granted on 10/23/24.

Outdoor play areas are a fenced and age appropriate for school age children. The surface of the outdoor activity space is maintained in safe condition and free of hazards. Facility provides basketballs, hand balls, jump ropes, and other equipment. There are no bodies of water at this facility. There is adequate shade provided outside in the picnic area.



Area Manager, April Smith was reminded that any changes to the facility must be reported to and approved by the Department. A license for a total of 140 School Age children (TK-12 years old) in Rooms #304, #305 & Multipurpose Room will be granted effective today. A notice of site visit was given to the facility representative and must remain posted for 30 days. Exit interview was conducted and report was reviewed with Area Manager, April Smith. A copy of this report was also provided.
NAME OF LICENSING PROGRAM MANAGER: Joelle Redding
NAME OF LICENSING PROGRAM ANALYST: Saraliz Velando
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC809 (FAS) - (06/04)
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