<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701203
Report Date: 01/13/2025
Date Signed: 01/13/2025 01:42:33 PM

Document Has Been Signed on 01/13/2025 01:42 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:HILLSIDE VILLAGE HEAD START CHILD DEVELOPMENTFACILITY NUMBER:
376701203
ADMINISTRATOR/
DIRECTOR:		TANIA BELLOFACILITY TYPE:
850
ADDRESS:12979A COMMUNITY ROADTELEPHONE:
(858) 486-1284
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 10DATE:
01/13/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Tania BelloTIME VISIT/
INSPECTION COMPLETED:
01:50 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 1/13/25 at 12:40 p.m, LPA Renita Rodriguez made an unannounced visit to follow up on self reported incident, received on 12/17/24. LPA met with Center Supervisor Tania Bello and explained purpose of the visit. LPA conducted interview with Center Supervisor. There are 10 children and 5 staff.

Facility self reported on 12/17/24 an incident regarding parent reporting to facility that they witnessed S1 push C1 through a bathroom gate to get child to use the restroom. The incident which occurred on 12/10/24, was investigated by the facility and the decision was for S1 to be released of their duties from the facility.

Center Supervisor states training for children's rights is provided to staff by the mental health coordinator and the last training was completed on 1/6/25.

No deficiencies cited at this time.

Exit interview conducted and report was reviewed with the Center Supervisor, Tania Bello. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2025
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 1