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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006399
Report Date: 01/28/2025
Date Signed: 01/28/2025 02:01:57 PM

Document Has Been Signed on 01/28/2025 02:01 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:UCSD EARLY CHILDHOOD EDUCATION - MAIN SITE-INFANTFACILITY NUMBER:
372006399
ADMINISTRATOR/
DIRECTOR:		LUCIA SANTA MARIAFACILITY TYPE:
830
ADDRESS:9224 REGENTS ROADTELEPHONE:
(858) 246-0900
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: 41DATE:
01/28/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Leia WilsonTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
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On 1/28/25 at 12:45PM Licensing Program Analyst (LPA) Annette Sutherland arrived at the facility to follow up on an unusual incident report. LPA met with the Director Leia Wilson. The facility was toured, and a census was taken. Appropriate ratios and supervision were observed. Facility had reported that on 1/7/25 child #1 was accidentally given child #2's breast milk. The child drank 3 oz. of the bottle as staff realized quickly that they had the wrong bottle. They discarded the milk. Child #1 was given their own bottle.

Child #2 had an extra supply of milk available, so they were able to be fed the rest of the day of the incident. Parents were notified of the incident.

Staff involved were interviewed today. Bottle was labeled correctly with child’s name and date. Staff #1 failed to look at the name on the bottle before giving it to the child, communicate with other staff in the classroom. The staff thought they were giving the right child the right bottle. 
LPA inspected the refrigerator and found that each child bottle was labeled and dated.
Children's records were reviewed.  Both children were on breast milk, and neither had any dietary restrictions.

See LIC 809D for Deficiency cited.

Exit interview conducted and report was reviewed with the Director Leia Wilson. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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 01/28/2025 02:01 PM - It Cannot Be Edited


Created By: Annette Sutherland On 01/28/2025 at 01:23 PM
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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: UCSD EARLY CHILDHOOD EDUCATION - MAIN SITE-INFANT
FACILITY NUMBER: 372006399

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/28/2025
Section Cited
CCR
101223(a)(2)

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101223(a)(2) Personal Rights. Each child shall be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidenced by ....
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Correction has already been addressed. Infant staff has been retrained and Director provided the new bottle handing procedures to ensure that staff feed each child the correct bottle.
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Based upon facility documents, interviews with multiple parties, Child #1 was given Child #2's bottle to drink. This posed a potential risk to the health and safety of the child.
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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:Joelle Redding
LICENSING EVALUATOR NAME:Annette Sutherland
LICENSING EVALUATOR SIGNATURE:
DATE: 01/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/28/2025


LIC809 (FAS) - (06/04)
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