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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600969
Report Date: 10/02/2024
Date Signed: 10/02/2024 01:16:10 PM

Document Has Been Signed on 10/02/2024 01:16 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CALVIN CHRISTIAN PRESCHOOLFACILITY NUMBER:
376600969
ADMINISTRATOR/
DIRECTOR:		SONJA RAE DOWNSFACILITY TYPE:
850
ADDRESS:1868 N. BROADWAYTELEPHONE:
(760) 520-8431
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY: 89TOTAL ENROLLED CHILDREN: 89CENSUS: 33DATE:
10/02/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Sonja DownsTIME VISIT/
INSPECTION COMPLETED:
01:29 PM
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On the above date and time, Licensing Program Analyst (LPA) Kelly Gerth arrived at the facility for the purpose of conducting a case management visit regarding an unusual incident report via the duty line on 09/11/24. LPA met with Director Sonja Downs to discuss the reported incident.

During the visit, LPA toured the facility, took census, verified facility staff and reviewed pertinent documents.

Per the report, the Licensee stated that a child fell from the outdoor activity area play structure resulting in a broken arm.

LPA determined that the facility took the necessary steps to ensure the children’s safety, including immediate first aid and contacting the child’s parent/guardian. Based on the information obtained during the visit, there appears to be no violations of Title 22 regulations pertaining to the reported incident.

An exit interview was conducted, A notice of site visit, appeal rights and a copy of this report were provided to Director Sonja Downs and reminded Director that the site visit must be posted for 30 days.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE: DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2024
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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