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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701497
Report Date: 05/17/2023
Date Signed: 05/17/2023 12:21:36 PM

Document Has Been Signed on 05/17/2023 12:21 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: 97DATE:
05/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Brenda CasillasTIME COMPLETED:
10:00 AM
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On May 17, 2023, at 9:00am Licensing Program Analyst (LPA), Adrian Castellon, conducted an unannounced Case Management Inspection due to an incident with child #1. On 05/9/2023, the Department received the incident report from the facility for child #1. The facility submitted an Unusual Incident Report via email to our Agency on 05/9/2023.

During today's case management inspection, LPA met with director Brenda Casillas and assistant director Roxanna Larios. Present during today's inspection were 97 children in care.

The facility self reported on 5/9/2023 that child #1's parent reported that child had a black eye caused by a staff member pushing child or another child in care punching child. Father stated that child advised him that the black eye was caused by staff member then reported that another child hit him. LPA interviewed director and assistant director regarding the incident. LPA Castellon telephoned and interviewed child's father.

Child has returned to facility. Father states that child was not taken to doctor. Father states that he believes the discoloration around child's eye was caused by an allergic reaction caused by a marker. Father offered to submit a declaration indicating that he does not believe that the discoloration was caused by staff or children in care.

Incident was reported in a timely manner.

No deficiencies issued during today's visit. LPA conducted an exit interview with the licensee.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2023
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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