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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701226
Report Date: 08/30/2022
Date Signed: 08/30/2022 02:26:27 PM

Document Has Been Signed on 08/30/2022 02:26 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:CHILDREN'S CHOICE ACADEMYFACILITY NUMBER:
376701226
ADMINISTRATOR:SHANNON SPENCERFACILITY TYPE:
830
ADDRESS:12464 WOODSIDE AVENUETELEPHONE:
(619) 561-8880
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
08/30/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Director, Shannon Spencer TIME COMPLETED:
02:40 PM
NARRATIVE
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 Licensing Program Analyst (LPA) Jennifer Lott conducted an unannounced Case Management visit to cite unrelated deficiencies noted during a previous visit from 08/30/2022. Director, Shannon Spencer was informed of the violations.

During the 08/30/2022 site visit, based on interviews with the director, outside sources and staff, that the infants and toddlers are commingled in the morning hours between 6:00am-7:00am and during the last hour of the day 5:00pm to 6:00pm.. Therefore, a deficiency is being cited per Title 22, Div. 6, Chap 6 Regulations and listed on LIC 809-D. An exit interview was conducted and report was reviewed with Director, Spencer. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022
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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Document Has Been Signed on 08/30/2022 02:26 PM - It Cannot Be Edited


Created By: Jennifer Lott On 08/30/2022 at 01:44 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: CHILDREN'S CHOICE ACADEMY
FACILITY NUMBER: 376701226

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/13/2022
Section Cited
CCR
101216.4(a)(2)

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Child day care centers serving infants; optional toddler program; departmental guidelines and regulations - (2) The toddler program shall be conducted in areas physically separate from those used by older or younger children. This requirement is not met as evidenced by:
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Director states they will submit a written statement saying that they understand they cannot commingle infants/toddlers and that they will cease such practices. Letter to be submitted by POC date.
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Based on LPA's interviews with staff, the facility commingles infant and toddler children during 6:00am-7:00am and 5:00pm-6:00pm. This poses a potential health & 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:Jennifer Lott
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2022


LIC809 (FAS) - (06/04)
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