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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701401
Report Date: 11/10/2021
Date Signed: 11/10/2021 02:02:30 PM

Document Has Been Signed on 11/10/2021 02:02 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:HILLTOP PRESCHOOL INFANTFACILITY NUMBER:
376701401
ADMINISTRATOR:MARLA MARTINFACILITY TYPE:
830
ADDRESS:12348B CASA AVENIDATELEPHONE:
(858) 486-6712
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY: 24TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
11/10/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Marla MartinTIME COMPLETED:
11:00 AM
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On 11/10/21 @ 9AM, LPAs Nancy Diaz and Leilani Curtis conducted an unannounced inspection. LPA met with Marla Martin, Site Director/Owner. Observed present today were 11 infants with staff Viviana Bedolla, Teresa Wettig, Rebecca Pineda, Janet Hidalgo and Cassandra Montiel. A tour of the facility was conducted. There is one classroom designated for infant use. Program operates Monday-Fridays; 7:30AM to 5:00PM.

A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. The licensee has not exceeded the conditions, limitations and capacity specified on the license. Children were observed to be visually supervised by a qualified teacher. All staff present today are trained in CPR and Pediatric First aid (current certificates were available for review).

The child care center was observed to be clean, safe, sanitary and in good repair to ensure the well-being of children, employees and visitors. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Disinfectants, cleaning solutions, medications or poisons are inaccessible to children. All toilets, handwashing facilities are in safe and sanitary operating condition. All floors are clean and safe. A carbon monoxide detector is maintained in the facility. An isolation area has been designated for children who becomes ill during the day.

Kitchen and food preparation areas are kept clean. All food and beverage are stored appropriately. Uncontaminated drinking water are readily available both indoors and out.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 11/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/10/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: HILLTOP PRESCHOOL INFANT
FACILITY NUMBER: 376701401
VISIT DATE: 11/10/2021
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The surface of the outdoor activity space are maintained in a safe condition, and free of hazards. Playground equipment are in safe condition, free of sharp, loose or pointed parts. The areas around or under high climbing equipment are cushioned with material that absorbs a fall.

Children’s files were review. The person who signs the child in/out use their full legal signature and recorded the time of day. An emergency information is maintained for all children in care.

Staff files were reviewed. Staff have current physician’s report on file. Staff qualification are maintained that included educational background, training and or experience. Staff have completed the mandated reporter training. Staff have been immunized against pertussis, influenza and measles.

Infant changing tables have a padded surface not less than one inch thick. Infant changing tables have raised sides at least three inches high. Toys are observed to be safe, and did not have sharp points or edges or splinters or made of small parts that can be pulled off and swallowed. Facility maintains sufficient napping equipment. The infant facility have indoor/outdoor activity space that is physically separate from space used by child care center/school age components. Direct visual supervision are provided by staff at all times. Facility maintains infant sleeping plans. Infant individual feeding and needs and services plans are maintained. Nap documentations are maintained that included: infant’s name, date, time of each 15-minute check and initials of the person who conducted each check.

LPA discussed the safe sleep regulations with Mrs. Martin and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021
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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: HILLTOP PRESCHOOL INFANT
FACILITY NUMBER: 376701401
VISIT DATE: 11/10/2021
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Mrs. Martin was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.


A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted with Mrs. Martin. Appeal rights and Site inspection report were reviewed/discussed. Written copies were provided.


To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

Type B deficiencies were cited. Type B deficiencies if not corrected poses a potential risk to the health, safety and personal rights of children in care.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021
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Document Has Been Signed on 11/10/2021 02:02 PM - It Cannot Be Edited


Created By: Nancy Diaz On 11/10/2021 at 01:31 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: HILLTOP PRESCHOOL INFANT
FACILITY NUMBER: 376701401

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/10/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101429(a)(2)(B)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in all of the 10 infant files reviewed today, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/19/2021
Plan of Correction
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Mrs. Martin was provided a sample of the 15-minute check log. She stated that she will start recording the infant 15-minute check beginning 11/12/21. She will submit a sample copy of the 15-minute check log to the department no later than 11/19/21.
Type B
Section Cited
CCR
101419.2(a)
Infant Needs and Services Plan
(a) Prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 7 of the 10 infant files reviewed today, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/19/2021
Plan of Correction
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Mrs. Martin stated that she will meet with parents of children who did not have a current Needs and Services plan to update the information. She will send copies of updated plans to the department no later than 11/19/21.
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:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 11/10/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/10/2021


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Document Has Been Signed on 11/10/2021 02:02 PM - It Cannot Be Edited


Created By: Nancy Diaz On 11/10/2021 at 01:31 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: HILLTOP PRESCHOOL INFANT
FACILITY NUMBER: 376701401

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/10/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101419.2(b)(2)
Infant Needs and Services Plan
(b) The needs and services plan shall be in writing and shall include the following: (2) Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)], which is incorporated by reference.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in all 10 of the infant files reviewed today, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/19/2021
Plan of Correction
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LPA provided Mrs. Martin with form LIC 9227 (Sleeping Plan). She will meet with all the parents to ensure that the sleeping plan is completed. She will submit copies of the plan to the department no later than 11/19/2021.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 11/10/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/10/2021


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