Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700272
Report Date: 10/27/2016
Date Signed 10/27/2016 03:54:29 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:A CHILDREN'S GARDEN - LEUCADIAFACILITY NUMBER:
376700272
ADMINISTRATOR:HEATHER ADDY CRIDERFACILITY TYPE:
850
ADDRESS:1421 BURGUNDY ROADTELEPHONE:
(760) 436-5370
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:44CENSUS: 7DATE:
10/27/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Director Heather Addy CriderTIME COMPLETED:
04:00 PM
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Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of a random annual inspection. . During this visit there were 7 children with a teacher and the Director. Facility is within ratio and capacity. Program operates Monday thru Friday from 8 a.m. to 5:30 p.m.

The furniture and toys, both inside and out, are safe, age-appropriate and in good repair. All rooms have adequate heating, lighting and ventilation, are clean and orderly, and are free of hazards. All storage containers and trashes have tight fitting covers and are in good repair. Medications are kept in a box in the kitchen cabinet, inaccessible to children. The facility provides am and pm snacks and the children bring their own lunches. Food service area consists of a kitchen which is clean and free of hazards, with food stored per regulation and the snack menu is posted. All hazardous items are stored where they are inaccessible to children. The outdoor play area is fenced, has sufficient cushioning and adequate shade. The carbon monoxide detector is operational. There is no evidence of rodent or insect activity. There are no bodies of water, firearms or ammunition on the property. There is at least one staff present with a current CPR and First Aid certification. Sign in/out sheets were reviewed. LPA reviewed a sample of personnel records and a sample of children's records. Requirements of SB 792 (Staff Immunizations) was discussed. Incidental Medical Services (IMS) policy was discussed. No services are being provided. For IMS information see Evaluator Manual – Regulation 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. The facility will provide updated copies of the LIC 610 (Emergency Disaster Plan), LIC 500 (Personnel Report) and the Parent Handbook. No deficiencies are cited. Notice of Site Visit was posted during this visit.
The facility is advised to visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and new information.
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2016
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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