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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701497
Report Date: 09/14/2022
Date Signed: 09/15/2022 08:07:18 PM

Document Has Been Signed on 09/15/2022 08:07 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:CHILDREN'S CHOICE ACADEMY, INC - PRESCHOOLFACILITY NUMBER:
376701497
ADMINISTRATOR:JENNIFER GRAWVUNDERFACILITY TYPE:
850
ADDRESS:73 NORTH SECOND AVENUETELEPHONE:
(619) 249-4328
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 150TOTAL ENROLLED CHILDREN: 150CENSUS: 45DATE:
09/14/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Brenda CasillasTIME COMPLETED:
04:45 PM
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On 9/14/22 at 2:30 PM, Licensing Program Analyst (LPA),Adrian Castellon, conducted an unannounced Case Management Inspection due to a self reported incident of 09/6/22 with child #1. On 9/6/22, the Department received the incident report from the facility. LPA met with the facility director Brenda Casillas. LPA toured the facility and play yard for health and safety. LPA conducted several confidential interviews with the staff, Director and children in care. The incident of 9/6/22, involved a child who was being held by the arm by a staff member. The child dropped to the floor and the staff member held on to the arm. Child hurt his arm. Child advised staff that his arm was hurting. Child was checked for injuries.

The child’s parent was contacted, arrived at the facility, and took child to the doctor. Child did not suffer a break to the arm. Child returned to school the following day. LPA requested medical report from child's parent.

At this time, based on information obtained, a licensing violation has not occurred. The incident investigation may be reopened should further information be obtained.

An exit interview was conducted with facility director Casillas and the notice of site visit was provided to the Director. No citation issued on this date.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2022
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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