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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006516
Report Date: 08/17/2023
Date Signed: 08/17/2023 02:29:30 PM

Document Has Been Signed on 08/17/2023 02:29 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S PARADISE INC. - VALE TERRACEFACILITY NUMBER:
372006516
ADMINISTRATOR:SHADIERA BETHEAFACILITY TYPE:
840
ADDRESS:990 VALE TERRACE DRIVETELEPHONE:
(760) 941-7578
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 0DATE:
08/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Acting Director Ralani DonnarummaTIME COMPLETED:
02:45 PM
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On August 17, 2023 at 12:55 pm, Licensing Program Analyst (LPA) Jessica Rubio arrived unannounced to the facility to conduct a case management visit due to an unusual incident report received for an incident that occurred on 7/21/2023, reporting child (C1) was pushed down the slide and hit the side of their head on a pole causing a cut to C1's right temple. The injury later required three staples.

LPA met with Acting Director Ralani Donnarumma and conducted a tour and census of the facility. During the visit, LPA interviewed Acting Director, one staff (S1) and parent of C1 (P1). LPA was unable to interview C1 as C1 was not in attendance. Interviews revealed there were 14-20 children on the playground at the time of the incident with two teachers, (S1 and S2) providing supervision. Interviews revealed staff applied first aid, pressure, bandaged and observed C1 until P1 arrived to pick C1 up. Interviews revealed staff attempted to contact P1 as well as emergency contacts. P1 was not able to be reached immediately, however, P1 picked up C1 approximately an hour to an hour and half later. Interviews revealed P1 was calm, ate and drank normally while waiting to be picked up. LPA determined there are no violations and no deficiencies were cited at this time.

An exit interview was conducted and a copy of this report and LIC 811 Confidential Names List was provided to Acting Director Ralani Donnarumma. Appeal rights were also provided and a notice of site visit was emailed to Acting Director and must remain posted for 30 days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2023
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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