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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600816
Report Date: 04/08/2024
Date Signed: 04/08/2024 04:11:57 PM

Document Has Been Signed on 04/08/2024 04:11 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:ESCONDIDO COMMUNITY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376600816
ADMINISTRATOR/
DIRECTOR:		MONIQUE GAPUZFACILITY TYPE:
850
ADDRESS:613 E LINCOLN AVENUETELEPHONE:
(760) 839-9330
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY: 109TOTAL ENROLLED CHILDREN: 109CENSUS: 58DATE:
04/08/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Erika ParadaTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA ) Gabriela Hernandez and Licensing Program Manager Pauline Beschorner conducted an unannounced case management visit in regards to an incident report received on 03/11/2024. Per incident report, Child 1 (C1) hit his chin on the cement which caused him to get 3 stiches.

LPA interviewed Staff #1 and Staff 2 in regards to the incident. Staff 1 reported she did not see the incident, only assisted afterwards. Staff 1 stated she applied pressure to the chin to stop the injury from bleeding. Staff 2 stated C1 was running with another child. C1 tripped and fell, and so did the other child involved. As both were falling, the other child’s head bumped into C1’s head causing him to hit his chin on the cement. C1 then stood up and teachers noticed the bleeding. C1 was taken to the bathroom to get cleaned. C1’s parents were called, C1 was taken to a Medical Center for medical treatment. C1 received stiches and returned to day care center the next day. The other child involved was not injured.

LPA observed C1 today, stiches have been removed and child was in good spirits.

Based on all the information obtained by LPA's, there did not appear to be any violations of Title 22 Regulations pertaining to the reported incident.

An exit an interview was conducted. A copy of this report and appeal rights were provided at the time visit.

A notice of site visit was given and shall remain posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Gabriela Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 04/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2024
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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