Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136608070
Report Date: 06/02/2017
Date Signed 06/02/2017 09:21:47 AM

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:KINDER CASTLE LEARNING ACADEMYFACILITY NUMBER:
136608070
ADMINISTRATOR:ELIAS, NORAFACILITY TYPE:
850
ADDRESS:2211 WEST MAIN STREETTELEPHONE:
(760) 337-1117
CITY:EL CENTROSTATE: CAZIP CODE:
92243
CAPACITY:42CENSUS: 27DATE:
06/02/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Nora EliasTIME COMPLETED:
10:00 AM
NARRATIVE
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LPA Nancy Diaz conducted an unannounced random site inspection today. LPA met and toured the facility with Nora Elias. All required notices, forms and license were posted in an area visible to the parents or authorized person. Observed present today were 27 preschool children with staff Raquel Henderson & Marina Mendez. Children-staff ratio maintained in the classroom.

There were no bodies of water observed in the facility. Weaspons are not maintained on site. Disinfectants, cleaning solutions and other similar items are inaccessible to children via storage in the staff restroom. Furniture and playground equipment are kept in good condition, free of sharp, loose or pointed parts. All toilets and handwashing facilities are safe and working in sanitary condition. All floors are kept clean and safe. Kitchen, food preparation and storage areas are kept clean, free of litter, rubbish or rodents and other vermin.

All storage containers for solid waste have a tight-fitting covers that are kept on and in good repair. Uncontaminated drinking water are readily available both indoors and outdoor. The areas under high climbing equipment, swings, slides are cushioned with materials that absorbs a fall.

At least one person trained in CPR and Pediatric First Aid is present. Facility maintains current children’s record including emergency phone numbers of authorized representatives and medical assessment. Personnel record maintained on all staff including health screening.

The licensee has not exceeded the conditions, limitations and capacity specified on the license.

A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances.

Analyst observed the director posting “Notice of Site Visit”. Appeal rights were provided.

The following updated forms are due to the department no later than 6/9/17: LIC 500 (Personnel Report): LIC 610 (Emergency Disaster Plan) & LIC 9040 (Children's Roster).

SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2017
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: KINDER CASTLE LEARNING ACADEMY
FACILITY NUMBER: 136608070
VISIT DATE: 06/02/2017
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

TYPE B DEFICIENCES WERE CITED TODAY. Type B violation if not corrected, could become a risk to the health, safety, or personal rights of children in care.

SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2017
LIC809 (FAS) - (06/04)
Page: 2 of 3


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: KINDER CASTLE LEARNING ACADEMY
FACILITY NUMBER: 136608070
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/02/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/09/2017
Section Cited
101223
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101223(b)(1) Personal Rights. The center shall give each authorized representative a copy of the Personal Rights form (LIC 613A [9/96]).
- Licensee failed to provide parents of children form LIC 613A
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Licensee shall provide form LIC 613A to parents and obtain signatures. Copy of signed forms shall be submitted to the department no later than 6/9/17.
Type B
06/09/2017
Section Cited
101238.2
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101238.2(d)(2) Outdoor Activity Space. Outdoor activity space shall be hazard free.
- Black cord that ran across the preschool yard poses a tripping hazard.
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Licensee shall make the black cord inaccessible to children in the preschool yard. A photo to show that it was corrected shall be submitted no later than 6/9/17
Type B
06/09/2017
Section Cited
101238.2
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(b) The outdoor activity space shall be situated to:
(1) Provide a shaded rest area for the children.
- Facility did not provide a shaded rest area for the children in the preschool yard.
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Licensee shall install a shaded rest area for the children no later than 6/9/17. A Photo to show that a shade was installed is due to the department no later than 6/9/17.
Type B
06/09/2017
Section Cited
H&S1596.
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H & S Section 1596.7995. Effective September 1, 2016, a person may not be employed or volunteer at a child care center unless he or she has been immunized against influenza, pertussis, and measles.
- All staff are missing the required immunizations.
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Licensee shall obtain the required immunization and submit copies to the department no later than 6/9/17.
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: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2017
LIC809 (FAS) - (06/04)
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