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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376617364
Report Date: 02/25/2025
Date Signed: 02/25/2025 04:44:42 PM

Document Has Been Signed on 02/25/2025 04:44 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:BROWN, LISA FAMILY CHILD CAREFACILITY NUMBER:
376617364
ADMINISTRATOR/
DIRECTOR:		LISA BROWNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 972-3724
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/25/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:35 PM
MET WITH:Lisa BrownTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On 2/25/2025 at 3:05pm, Licensing Program Analyst (LPA), Vicky Williamson conducted an unannounced case management inspection for the purpose of following up on a self - reported incident. LPA met with Licensee, Lisa Brown and disclosed the purpose of the inspection. Also present was Licensee's Assistant, Jezebel Figueroa. There were no daycare children present. Days and hours of operation are Monday - Friday, 2:00pm - 5:00pm during the school schedule. Hours of operation during school holiday breaks are Monday - Friday from 7:30am - 5:00pm.

LPA accompanied by licensee conducted a tour of the indoor and outdoor of the home. On 1/6/2025, the Licensee reported an incident regarding a possible lack of supervision violation. Licensee stated that the incident occurred on 1/3/2025 at approximately 2:50pm. Licensee stated that Child#1 (C1) fell onto the turf on top of Child #2 (C2) while in the backyard playing a game with five other daycare children. Licensee stated that C1 sustained an injury to the left arm that required medical attention. Licensee stated immediately applied first aid and contacted C1’s authorized representative.

Interviews were conducted with the licensee and assistant. Licensee's Assistant, Jezebel Figueroa stated that she was outside during the time of the incident with approximately six daycare children. C1 was not available for interview during the time of inspection.

LPA inspected the area of the back yard where the incident occurred and observed that it is safe and free of hazards. LPA obtained a copy of facility roster. Licensee stated that there were approximately a total of eight (8) children at the facility present during the time of the incident. The above incident needs further investigation.


See LIC 809C Continuation...
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/25/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: BROWN, LISA FAMILY CHILD CARE
FACILITY NUMBER: 376617364
VISIT DATE: 02/25/2025
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During the inspection, Licensee stated that there is an in-ground swimming pool on the premises. LPA observed an infinity edge in-ground swimming pool and a in- ground jacuzzi with a 5 feet high fencing enclosing the bodies of water, the fence does not obscure the pool from view. There is one entrance gate into the pool area that swings away from the pool, is self-closing, and key lockable devices that meet requirements. LPA observed three pool alarms, a life ring and rescue pole with a body hook that meet new pool safety requirements. LPA reviewed daily safety log inspection and observed that it is being maintained. Licensee stated there are no firearms, other weapons, or ammunition in the home.

Exit interview was conducted and report was reviewed with Licensee, Lisa Brown. Appeal Rights, and Notice of Site Visit were given. Notice of Site Visit is required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Notice of Site Visit posted on the bulletin board inside of the classroom.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC809 (FAS) - (06/04)
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