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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005139
Report Date: 09/04/2024
Date Signed: 09/04/2024 11:49:19 AM

Document Has Been Signed on 09/04/2024 11:49 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:ESCONDIDO COMMUNITY CHILD DEVELOPMENT CENTER, INCFACILITY NUMBER:
372005139
ADMINISTRATOR/
DIRECTOR:		EUNICE HERRERAFACILITY TYPE:
850
ADDRESS:819 W. 9TH STREETTELEPHONE:
(760) 745-9215
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY: 77TOTAL ENROLLED CHILDREN: 77CENSUS: 43DATE:
09/04/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:33 AM
MET WITH:Eunice HerreraTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
NARRATIVE
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Licensing Program Analyst (LPA) Kelli Waters conducted a Case Management visit on 09/04/24 to follow up on an Unusual Incident Report (UIR) that was submitted to Licensing by the facility on 08/16/24. LPA met with Eunice Herrera, Site Director, and Cynthia De Dios, Program Director, to discuss incident.

The Director reported the following; on August 16, 2024, C1 was left unattended inside classroom B3 for approximately 4 minutes.

During interviews with staff and video footage of the incident, staff and children from classroom B3 were on the playground with 16 children and two staff. At 9:50am, C1 entered room B3 to use the restroom with S1 standing at the door providing supervision for both C1 inside and the remaining children outside. At approximately 9:51am, S1 leaves door to attend to children on playground. The door to room B3 closes and C1 is left unattended until 9:55am when S2 enters. S2 returned C1 to playground area.

Based on interviews and video footage, the facility is being cited for Title 22 Regulation Section 101229 (a)(1) Responsibility for Providing Care and Supervision on the attached LIC 809D.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months.
See LIC 809-D for deficiency cited.

An exit interview was conducted, and a copy of this report was provided.

The Notice of Site Visit and Type A Deficiencies from today’s visit must be posted for 30 days and a copy of this report must be made available to the public, at the facility site, for 3 years.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelli Waters
LICENSING EVALUATOR SIGNATURE: DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/04/2024
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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Document Has Been Signed on 09/04/2024 11:49 AM - It Cannot Be Edited


Created By: Kelli Waters On 09/04/2024 at 11:22 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: ESCONDIDO COMMUNITY CHILD DEVELOPMENT CENTER, INC
FACILITY NUMBER: 372005139

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/13/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary...(1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual ...

This requirement was not met as evidenced by:
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Facility will provide additional training to staff on responsibility for providing care and supervision as per Title 22 regulations and submit copies of the training to the department. Facility will also ensure the door to classroom B3 is in proper working order and can be opened by both staff and students. Director will provide video evidence to LPA via email.
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Based on video footage and interviews with staff, C1 was left unsupervised in the classroom B3 for approximately 4 minues, which posed a health and safety risk for children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Carlos Martinez
LICENSING EVALUATOR NAME:Kelli Waters
LICENSING EVALUATOR SIGNATURE:
DATE: 09/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/04/2024


LIC809 (FAS) - (06/04)
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