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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700374
Report Date: 06/09/2021
Date Signed: 06/09/2021 03:55:24 PM

Document Has Been Signed on 06/09/2021 03:55 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:CARLSBAD EDUCATIONAL FOUNDATION - POINSETTIAFACILITY NUMBER:
376700374
ADMINISTRATOR:ELOISA ORTIZ-LOPEZFACILITY TYPE:
840
ADDRESS:2445 MICA ROADTELEPHONE:
(760) 331-6580
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY: 100TOTAL ENROLLED CHILDREN: 0CENSUS: 22DATE:
06/09/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Bridget NicholsTIME COMPLETED:
04:15 PM
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On June 9, 2021 at 2:00 p.m., Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced case management inspection in reference to the Licensee’s request for a room addition. Upon arrival LPA met with Area Manager Bridget Nichols and proceeded to tour the facility to ensure that it is safe for the care and supervision of children. Also present were 2 staff with 22 children in the following rooms:
  • Room#201: 7 children with staff #2 (S2)
  • Room#208: 15 children with staff #1 (S1)

Room #208 was out of ratio. At 2:45 p.m. staff #3 arrived to assist in room #208. Staff members have the required background clearances and are associated to the facility.

The facility is currently licensed to operate in rooms 201, 208, Library and Multipurpose Room. The licensee has requested to add rooms 203 and 606 to its license. A fire clearance for the additional rooms was granted on 06/01/21. The capacity will remain the same, 100 children in transitional kindergarten and above.

The classrooms are used as elementary school classrooms during the day. Per Health and Safety Code Sections 1596.806(a), (a)(1), (a)(2) and (d) this program is exempt from square footage requirements. LPA inspected rooms 203 and 606. The rooms are equipped with tables, chairs and age appropriate supplies and equipment. Cleaning supplies and other hazardous items are inaccessible to children through latches, locks and/or placed on high surfaces. Check-in will take place in room #208. If child(ren) become ill during the day, they will be placed in the isolation area which is located at an outside table near the front office. Children’s authorized representative will be contacted immediately for pick up. Drinking water is readily accessible via water fountains that Ms. Nichols stated children will utilize to refill their water bottles that they bring from home.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE: DATE: 06/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2021
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 - POINSETTIA
FACILITY NUMBER: 376700374
VISIT DATE: 06/09/2021
NARRATIVE
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There are several restrooms for the children to use which include toilets and sinks and afford privacy. There is a separate staff restroom. Children will be escorted to/from the restrooms at all times. Food preparation for snacks is done in room #208. The children eat snacks outside at the picnic tables. Facility has an operational carbon monoxide detector located in room #208. The playground to be used is the elementary school playground, which has age-appropriate play equipment. There is shade available and a drinking fountain for refilling water bottles. Ms. Nichols is reminded to keep anything that reads, “Keep Out of Reach of Children” inaccessible to children.

The Multipurpose Room was observed to be not in compliance with Title 22 regulations. LPA observed several items to be stacked up on one another such as boxes and drawers. The Multipurpose Room is currently being used for storage. There are several tables and chairs stacked through out the room. The Area Manager states that they do not currently use the Multipurpose Room but would like it to remain on their license for the next school year. LPA informed Ms. Nichols that prior to having any children utilize the Multipurpose Room she must submit pictures to LPA Curtis to confirm that the hazardous items have been removed.

See LIC809D for cited deficiency.

***Rooms 203 and 606 were inspected today and observed to be in compliance with Title 22 regulations. The addition of rooms 203 and 606 for childcare is granted and effective today's date, 6/9/21. The licensed rooms are as follows 201, 203, 208, 606, Library and Multipurpose Room. An updated license will be sent for posting.

An exit interview was conducted and appeal rights (LIC 9058 1/16) were discussed with Area Manager Nichols. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the Area Manager post notice of site visit.

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.”
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/09/2021 03:55 PM - It Cannot Be Edited


Created By: Grace Curtis On 06/09/2021 at 03:19 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: CARLSBAD EDUCATIONAL FOUNDATION - POINSETTIA
FACILITY NUMBER: 376700374

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/18/2021
Section Cited
CCR
101516.5(b)(1)

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101516.5 Teacher-Child Ratio: (b) There shall be a staffing ratio of one teacher and one aide present to every 28 children in attendance. (1) A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children. This requirement was not met as evidenced by:
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The deficiency was corrected when an additional staff member (S3) arrived at 2:45 p.m. The Area Manager states that she will conduct a staff meeting to advise staff of ratio requirements. The Area Manager will send LPA a copy of the meeting agenda and sign in sheet via email by POC due date of
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Based on LPA's observation and staff #1's statement, staff #1 was alone with 15 children. The Area Manager failed to ensure that a staffing ratio of one teacher to 14 children was maintained. This poses a potential health and safety risk to 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:Tashima Daniel
LICENSING EVALUATOR NAME:Grace Curtis
LICENSING EVALUATOR SIGNATURE:
DATE: 06/09/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/09/2021


LIC809 (FAS) - (06/04)
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