Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005809
Report Date: 03/15/2017
Date Signed 03/15/2017 02:36:25 PM

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 PRESCHOOL LEARNING CTR-SCHOOL AGE PROG.FACILITY NUMBER:
372005809
ADMINISTRATOR:TENCATI, ANOUSHFACILITY TYPE:
840
ADDRESS:13168 POWAY ROADTELEPHONE:
(858) 748-5519
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:14CENSUS: 14DATE:
03/15/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Renee EricksonTIME COMPLETED:
04:30 PM
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3) LPA Miriam Pennock conducted an annual random visit at Children's Preschool Learning Center's School Age program in Poway. Today is the early day so the school age children were present and facility is full. Assistant Director Renee Erickson is present to assist along with the Director Anoush Tencati. There are no bodies of water or weapons allowed on the premises. The center is clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. Outdoor activity space provided for the school age children is physically separate from space provided for the infants and pre school. There is a Waiver in place. Disinfestants and cleaning solutions are kept locked under the sink in the preschool. Furniture and equipment is in good condition, free of sharp, loose or pointed parts. There are two bathrooms - one for girls and one for boys. Each has one toilet and one sink. There is a third sink and water fountain in the school aged program room. All floors are clean and safe. All kitchen pre areas are kept clean. Outdoor activity space surfaces are free of hazards. Areas around or under high climbing equipment, use wood chips for cushioning material. Children are normally only around for afternoon snack which today is mixed. Ratio is maintained at 1X14. Facility has an operational carbon monoxide detector.
There is a separate, complete and current record maintained for each child enrolled in the child care center.
LPA walked directly into the facility. All staff have criminal record clearances on file before they start. All children are visually supervised at all times. The licensee shall not exceed the approved capacity of the fire clearance for the facility. The licensee does not exceed the conditions, limitations and capacity specified on the license. All staff are current with Pediatric CPR and First Aid using Heartsaver through The CPR Lady and cards are good until October 2018. The Director of the facility is Anoush Tencati and if she is not present, Renee Erickson is in charge. The person who signs the child in and out uses their full legal signature and records the time of day. Personnel records are maintained on the licensee administrator and each employee which documents educational background and /or experience. Each report contains a health screening and TB test along with immunization requirements.
SUPERVISOR'S NAME: Carol AugustTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Miriam PennockTELEPHONE: (619) 767-2216
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2017
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: CHILDREN'S PRESCHOOL LEARNING CTR-SCHOOL AGE PROG.
FACILITY NUMBER: 372005809
VISIT DATE: 03/15/2017
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At the present time there do not appear to be any deficiencies and this facility appears to be meeting Title 22 and Licensing requirements. This is a public document which must be available at your facility site for a period of three years. Original signature is on original paperwork.

The following information regarding ADA was provided: US Department of Justice (USOJ) / (800) 514-0383 (TTY) and link to publication; Commonly Asked Questions about Child Care Centers and the ADA available at: http:// www.ada.gov/chidqanda.htm.
SUPERVISOR'S NAME: Carol AugustTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Miriam PennockTELEPHONE: (619) 767-2216
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2017
LIC809 (FAS) - (06/04)
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