Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700374
Report Date: 08/12/2015 12:00:00 AM
Date Signed 08/12/2015 12:16:40 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:CARLSBAD EDUCATIONAL FOUNDATION-POINSETTIAFACILITY NUMBER:
376700374
ADMINISTRATOR:SAMARA WHITEFACILITY TYPE:
840
ADDRESS:2445 MICA ROADTELEPHONE:
(760) 331-6580
CITY:CARLSBADSTATE: CAZIP CODE:
92010
CAPACITY:100CENSUS: 79DATE:
08/12/2015
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:23 AM
MET WITH:Samara WhiteTIME COMPLETED:
12:25 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 Angel Richards arrived at the facility to conduct a Case Management Visit regarding the facility's request to temporarily add a classroom (pod 500) to the license. Upon arrival LPA met with Director Samara White. There are 79 children in care.

An application for the temporary room addition was received on 6/25/15. The granted Fire Clearance was received on 8/10/15.

LPA toured the pod area. The pod area is an enclosed space that is located between 4 classrooms. In this space there are computers and tables available. The facility understands that they are responsible to ensure the space is in compliance with regulations even though it's on a school site. The facility utilizes the school playgrounds, school drinking fountains, and school bathrooms. The facility is planning to utilize the pod area as a backup space in the case that their other rooms (room 201, 208, the library, and a portion of the multipurpose room) need to be inaccessible during the preparation for the school year through 8/28/15. This site is providing summer care at this time and the regular school year starts on 9/2/15.

No corrections are needed, the pod area will be added to the license effective today.

No deficiencies cited. A Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Mary A RichardsTELEPHONE: 619-767-2208
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2015
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