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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105062
Report Date: 03/24/2022
Date Signed: 03/24/2022 03:16:59 PM

Document Has Been Signed on 03/24/2022 03:16 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:BORREGO SPRINGS CHILDREN'S CENTERFACILITY NUMBER:
376105062
ADMINISTRATOR:TERESA WESTFACILITY TYPE:
850
ADDRESS:580 CIRCLE J DRIVETELEPHONE:
(760) 767-3658
CITY:BORREGO SPRINGSSTATE: CAZIP CODE:
92004
CAPACITY: 35TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
03/24/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Teresa WestTIME COMPLETED:
03:45 PM
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On 3/24/2022 @ 2:30PM, Licensing Program Analysts (LPAs) Patrick Ma and Keturah Lane conducted an unannounced case management inspection. LPAs toured the classrooms upon entrance. There were 8 children at the facility with 5 teachers today. Appropriate ratios were observed.

On 2/14/22, Director self-reported a possible personal rights violation against child #1. LPA’s interviewed staff #1, staff #2, staff #3, and site director, Teresa West.

No deficiency was cited, however, further investigation is needed.

Exit interview was conducted with Teresa West. LPAs provided a copy of this report and appeal rights were discussed and provided today. Notice of site visit was observed posted. This notice shall remain posted for 30 days.

SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2022
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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