Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700253
Report Date: 04/27/2017
Date Signed 04/27/2017 01:15:21 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:ESCONDIDO UNION SCHOOL DISTRICT-ROSE SCHOOLFACILITY NUMBER:
376700253
ADMINISTRATOR:LIZETH LOPEZFACILITY TYPE:
850
ADDRESS:906 NORTH ROSE STREETTELEPHONE:
(760) 432-2495
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY:48CENSUS: 14DATE:
04/27/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Camille ChambersTIME COMPLETED:
01:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
LPA Monica Cuddy visited the facility to conduct a site inspection. Upon arrival LPA met with the lead teacher and proceeded to tour the facility. This Preschool program is housed in rooms 50 and 51 at Rose Elementary School During today's visit, there were 14 children with 2 staff in 1 classroom. The other classroom was not in use by children at the time of the visit. Appropriate ratios and capacity were observed. Appropriate care & visual supervision were also observed during the visit while children were playing.
Furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation. Drinking water is readily accessible. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Paper towels and toilet paper are available. Food is provided by the school cafeteria. Menu is posted.
Outdoor play area is a fenced playground with sufficient material for cushioning. There are no bodies of water or weapons at this facility. Climbing structures, swings and slides are securely fixed to the ground. Area has trees that provide shade. Equipment is age appropriate. Area has drinking water readily accessible and grounds are free of debris or potential hazards.
LPA reviewed medication storage. Personnel records contain documentation of education and children’s records contain emergency information. At least one staff member has current CPR and First Aid certifications. Staff is exempt from criminal record clearance requirements as employees of the Board of Education.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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.
No deficiencies are cited. LPA provided notice of site visit and observed it being posted at the facility.
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Monica CuddyTELEPHONE: 619-767-2249
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2017
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1