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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600967
Report Date: 08/02/2022
Date Signed: 08/02/2022 10:56:26 AM

Document Has Been Signed on 08/02/2022 10:56 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CHILDREN'S CHOICE - INFANTFACILITY NUMBER:
376600967
ADMINISTRATOR:FREDA SIMMONSFACILITY TYPE:
830
ADDRESS:1465 EAST MADISON AVENUETELEPHONE:
(619) 442-4014
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY: 19TOTAL ENROLLED CHILDREN: 19CENSUS: 14DATE:
08/02/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Director Freda SimmonsTIME COMPLETED:
11:00 AM
NARRATIVE
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On 8/2/22 @ 10:30 a.m., Licensing Program Analyst (LPA), Joelle Redding, was present at the facility to deliver findings on a complaint investigation. During the investigation, it was determined that unqualified staff have been left alone with infants on more than one occasion.

A Type B deficiency will be cited on the accompanying LIC 809D.

Appeal Rights were discussed, provided and a Notice of Site Visit was posted. The Notice of Site visit will remain posted for 30 days. Failure to post for 30 days may result in a civil penalty of $100.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE: DATE: 08/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/02/2022
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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Document Has Been Signed on 08/02/2022 10:56 AM - It Cannot Be Edited


Created By: Joelle Redding On 08/02/2022 at 08:22 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CHILDREN'S CHOICE - INFANT
FACILITY NUMBER: 376600967

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/16/2022
Section Cited
CCR
101416.3(b)

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Infant Care Aide Qualifications and Duties... An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher...

This requirement was not met as evidenced by:
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Director states that she is not aware of Aides being left in the Butterflies room without a qualified teacher present. She states that she will submit an LIC 500 showing current shift for all staff and will address the importance of ensuring a fully qualified staff is contacted prior to a lead teacher leaving the room for lunch breaks or at the end of the day. This will
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Based on interviews, unqualified staff have been left alone without direct supervision of a fully qualified teacher, assistant director or director, on one or more occasions, during the lead teachers' lunch break while children were awake and at closing, after the lead teachers have gone home. This is a potential risk to the health and safety of children in care.
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be done during tomorrow's staff meeting and documentation will be provided by the plan of correction date.

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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:Renesha Askew
LICENSING EVALUATOR NAME:Joelle Redding
LICENSING EVALUATOR SIGNATURE:
DATE: 08/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/02/2022


LIC809 (FAS) - (06/04)
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