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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376604221
Report Date: 10/12/2022
Date Signed: 10/12/2022 12:24:10 PM

Document Has Been Signed on 10/12/2022 12:24 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:HUDGINS, BRENDA FAMILY CHILD CAREFACILITY NUMBER:
376604221
ADMINISTRATOR:BRENDA HUDGINSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 729-7558
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY: 14TOTAL ENROLLED CHILDREN: 2CENSUS: 2DATE:
10/12/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Brenda HudginsTIME COMPLETED:
12:45 PM
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On 10/12/2022 at 9:30am, Licensing Program Analyst (LPA) Samantha Clenista arrived at the facility to conduct an unannounced case management site inspection to follow up on a self-reported incident that occurred on 09/29/2022. LPA was granted entry by Licensee, Brenda Hudgins. Present was the Licensee and two day care children. The facility is within ratio and capacity. The one story home was toured and inspected to ensure an environment safe for the care and supervision. Children were observed playing in the dining room area. Furniture and age appropriate equipment indoors was observed in good condition. Rooms have adequate heating, lighting, and ventilation.

On 09/29/2022, Licensee reported that Child #1 sustained a blister on her forehead from falling forward hitting her head on a glass pot which had a freshly heated casserole. When Child #1 hit her head on the pot, it slightly opened the lidl letting some steam out which led to Child #1 sustaining a blister. Licensee stated she was holding her in her arms because she was in distress while Licensee was serving lunch. Licensee stated she immediately applied TLC, ice pack and aloe vera and immediately contacted the parents to let inform them of the incident. During inspection, LPA observed where the incident occurred and interviewed Licensee. LPA reviewed and obtained confidential documentation pertaining to the incident. Home was observed in compliance with Title 22. To prevent this incident from occurring again, Licensee stated she has not and will no longer hold a child while preparing/serving meals.

Based on information gathered, the facility acted appropriately, and no violations have been identified at this time. LPA reviewed this report with Licensee at conclusion of visit. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2022
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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