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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701228
Report Date: 03/17/2025
Date Signed: 03/17/2025 12:51:34 PM

Document Has Been Signed on 03/17/2025 12:51 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:CHILDREN'S CHOICE ACADEMYFACILITY NUMBER:
376701228
ADMINISTRATOR/
DIRECTOR:		SHANNON SPENCERFACILITY TYPE:
850
ADDRESS:12464 WOODSIDE AVENUETELEPHONE:
(619) 561-8880
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 28DATE:
03/17/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:02 AM
MET WITH:Amber GuttierezTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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On 3/17/2025 @ 11:02AM, Licensing Program Analysts (LPAs) Nancy Diaz and Jody Dye conducted an unannounced inspection in reference to a self-reported incident involving a 3-year old child who was injured in the classroom when a fish tank fell onto the child's head. This incident resulted to the child being taken to the emergency room and received stitches to her injury.

A tour of the classrooms were conducted with Site Director Amber Guttierez (Mailloux) and Ass't Director, Giavana Aguilar. Observed present today were 28 preschool children in 3 classrooms with staff J. Rosa Davis, J. Baccardi, P. Farmer, K. Siekmann, C. Richardson, G. Valle, J. McMillan & J. Bagalini.

Type A and B deficiencies were cited today. Type A deficiency if not corrected poses an immediate risk to the health, safety or personal rights of children in care. Type B deficiency if not corrected poses a potential risk to the health, safety or personal rights of children in care.

Exit interview was conducted with Ms. Guttierez. LPA reviewed and provided a copy of this report with Ms. Guttierez. Appeal rights were also given. Notice of Site visit and copy of licensing report must be posted for 30 days.

LPA Nancy Diaz informed licensee facility representative Amber Guttierez that this report dated March 17, 2025 documents one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.
Also, LPA Nancy Diaz informed the facility representative to provide a copy of this licensing report dated March 17, 2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

See LIC 809D for deficiencies
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2025
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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Document Has Been Signed on 03/17/2025 12:51 PM - It Cannot Be Edited


Created By: Nancy Diaz On 03/17/2025 at 11:52 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CHILDREN'S CHOICE ACADEMY
FACILITY NUMBER: 376701228

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/24/2025
Section Cited
CCR
101223(a)(2)

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PERSONAL RIGHTS
To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

This requirement was not met as evidenced by:
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Site director stated that she will walk through all the classrooms and ensure that heavy shelves, aquariums and heavy objects be anchored/braced to the wall. This will be completed no later than 3/24/2025. Director will notify the LPA via email once this is completed.
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Based on interview and document reviewed, a 3-year old child was taken to emergency and received stitches. A fish tank that was placed on top of play refrigerator fell on top of child. It was noted that the refrigerator was not safely braced to the wall. LPAs also observed several shelves and aquariums that were not anchored to the wall.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Joelle Redding
LICENSING EVALUATOR NAME:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 03/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/17/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/17/2025 12:51 PM - It Cannot Be Edited


Created By: Nancy Diaz On 03/17/2025 at 11:56 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CHILDREN'S CHOICE ACADEMY
FACILITY NUMBER: 376701228

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/24/2025
Section Cited
CCR
101212

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REPORTING REQUIREMENTS. The name of the child care center director, and any fully qualified teacher..... shall be reported to the Department within 10 days of a change of child care center director or designee(s).
This requirement was not met as evidenced by:
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Ms. Guttierez shall submit LIC 308 with supporting documents to the department no later than 3/24/2025.
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Based on interview, Site Director Amber Guttierez was promoted to a Director position sometime in 2024. Licensee failed to report this changed to the department.
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Type B
03/18/2025
Section Cited
CCR101170

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CRIMINAL RECORD CLEARANCE.
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering...Request a transfer of a criminal record clearance...
This requirement was not met as evidenced by:
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Site Director stated that the staff will be associated to the facility via Guardian no later than end of business day today, 3/17/2025.
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Based on record review, licensee failed to associate a staff to the facility. It is noted that this staff is a volunteer who works more than 16 hours per week.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Joelle Redding
LICENSING EVALUATOR NAME:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 03/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/17/2025


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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: CHILDREN'S CHOICE ACADEMY
FACILITY NUMBER: 376701228
VISIT DATE: 03/17/2025
NARRATIVE
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HSC Section 1596.8595© shall be cited for failure to provide copies to parents/guardians of children in care and newly enrolled children, and for failure to maintain written verification of receipt of, licensing reports indicating a Type A violation.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025
LIC809 (FAS) - (06/04)
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