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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700416
Report Date: 04/04/2024
Date Signed: 04/04/2024 03:05:53 PM

Document Has Been Signed on 04/04/2024 03:05 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SKYLINE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376700416
ADMINISTRATOR:
ADMINISTRATOR/
DIRECTOR:
JACQUELINE SERRANOFACILITY TYPE:
850
ADDRESS:11330 CAMPO ROADTELEPHONE:
(619) 415-5485
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 0DATE:
04/04/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
TIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Chad Bickley and Jacqueline SerranoTIME COMPLETED:
TIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On 04/04/2024 at 02:00pm, an office meeting was conducted to discuss deficiencies cited on 01/25/2024, and 08/14/2023. A previous office meeting was conducted on 07/20/2023 to discuss lack of supervision on the infant program. Present at the meeting were Licensee Representative, Chad Bickley; Center Director, Jacqueline Serrano; Licensing Program Manager (LPM), Tulam Vu; Licensing Program Analysts (LPAs) Vicky Williamson and Angela Nguyen.

On 01/25/2024 during a case management inspection, the facility was cited Type A, Section 101229(a)(1) Responsibility for Providing Care and Supervision: A three-year-old daycare child was left on the playground without supervision for approximately 16 minutes. On 08/14/2023, the facility was cited Type B, Section 101223(a)(1) Personal Rights: A staff member was observed multiple times yelling and using inappropriate tones with daycare children. It is noted that the director corrected all deficiencies in a timely manner. Director stated that all staff members have received training and reviewed videos on the CCL website regarding Supervision and Personal Rights.


LPM discussed with Licensee Representative and Center Director the above deficiencies and transitioning procedures to prevent future violations which will lead to civil penalty assessment(s) and a Non-Compliance Conference (NCC). LPM suggested that training be obtained from an outside vendor/R&R (YMCA) with the Director and all staff responsible for the care and supervision of children. LPM recommended that the licensee/director shall conduct ongoing quarterly training in the above areas, for staff by utilizing CCL's resources (CCLD website training videos and Title 22 Regulations) and create a plan of operation related to these areas. The Director was reminded that the training agenda and staff attendance be submitted to licensing after completion. Director stated that she will submit a plan for how she plans to be proactive in preventing future violations on 04/09/2024.

See LIC 809C Continuation.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2024
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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SKYLINE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 376700416
VISIT DATE: 04/04/2024
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Licensing Representative and the Director were referred to Technical Support Program (TSP) for services/training and advised to register for Provider Information Notifications (PINs).

The Director was provided with the following resources: A Technical Support Program (TSP) brochure, for questions related to the TSP, email: childcaretechnicalsupport@dss.ca.gov. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.go, Smart Horizonhttps://www.smarthorizons.org/childcare, sdincidentreports@dss.ca.gov and the Duty Line 619-767-2248. Please submit your Unusual Incident Report by email to: SDIncidentReports@dss.ca.gov or by Fax at (619) 767-2203.

The Director was provided regulation Section 101229(a)(1); Responsibility for Providing Care and Supervision Health & Safety Section 1596.99 and the Best Practices Lack of Supervision handout. Licensee Representative and Director were informed that repeated violations or failure to comply with licensing laws and regulations may result in administrative action taken by the Department. Licensee Representative and Director stated they understood and will ensure the facility complies with all regulations and laws governing Child Care Centers. Licensee Representative authorized Director, Jacqueline Serrano, to sign the report.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2024
LIC809 (FAS) - (06/04)
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