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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372001014
Report Date: 05/28/2024
Date Signed: 05/28/2024 01:11:19 PM

Document Has Been Signed on 05/28/2024 01:11 PM - It Cannot Be Edited

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:LEUCADIA CHILDREN'S SCHOOLFACILITY NUMBER:
372001014
ADMINISTRATOR/
DIRECTOR:		TORRES, ALICIAFACILITY TYPE:
850
ADDRESS:1337 NORTH VULCAN AVENUETELEPHONE:
(760) 753-8084
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: DATE:
05/28/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Alicia TorresTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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On 5/28/24 @11:30am, Licensing Program Analyst (LPA) Patrick Ma, made an unannounced Case Management inspection regarding a self reported incident made to the Department on 4/16/24. Upon arrival, LPA met with Teacher, Merle Rodriquez prior to Director Alicia Torres retuning to the facility.

LPA conducted children and staff interviews, made a confidential names list, and reviewed related documents. Child C1 was injured on the playground with 4 teachers present. Inspection interviews stated at least 2 teachers were less than 8 feet away from C1 and did not observe the incident due to engagement with other children at that moment. There was no visual impediment and teacher were in proper supervising positions on the playground. Multiple teachers attended to C1 once they fell.

No deficiencies were cited.

Exit interview conducted and report was reviewed with the facility representative Alicia Torres. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/28/2024
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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