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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700377
Report Date: 10/31/2024
Date Signed: 10/31/2024 04:30:00 PM

Document Has Been Signed on 10/31/2024 04:30 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CENTER FOR CHILDREN & FAMILIES-INFANT AT CAL STATEFACILITY NUMBER:
376700377
ADMINISTRATOR/
DIRECTOR:		LETISIA FORDFACILITY TYPE:
830
ADDRESS:453 LA MOREE ROADTELEPHONE:
(760) 750-8750
CITY:SAN MARCOSSTATE: CAZIP CODE:
92078
CAPACITY: 38TOTAL ENROLLED CHILDREN: 29CENSUS: 26DATE:
10/31/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Director, Letisia FordTIME VISIT/
INSPECTION COMPLETED:
04:40 PM
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On 10/31/24 Licensing Program Analyst (LPA) Saraliz Velando, conducted an unannounced inspection to follow up on a self-reported unusual incident that occurred on 10/25/24. LPA met with Director Letisia Ford and toured the facility. There were 26 infants with 11 staff members present. Appropriate ratio/capacity was observed. Staff members have the required background clearances and are associated to the facility. LPA interviewed the Director and staff #1 (S1).

On 10/25/24 at approximately 3:45pm, child #1 (C1) was observed falling backwards and hitting head on the fence. C1 cried continuously and vomited 5-10 minutes later. The Director was called to assist and contacted parents. Parent arrived within 5 minutes of being contacted and stated they would seek medical attention. C1 returned to school on 10/28/24 without restrictions. Appropriate ratio/supervision was in place. The staff members responded to the injury appropriately.

The incident was reported to the Department timely. The director stated that she met with staff members to discuss proper supervision and classroom safety.

No deficiencies are cited.

An exit interview was conducted with the Director, Letisia Ford and appeal rights were provided. A notice of site visit was posted and must remain for 30 days.

SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2024
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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