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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136608073
Report Date: 03/18/2021
Date Signed: 03/18/2021 05:00:32 PM

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:CALEXICO NEIGHBORHOOD HOUSE HAPPY KIDS PREK&DAYCARFACILITY NUMBER:
136608073
ADMINISTRATOR:AVILA, IGNACIAFACILITY TYPE:
850
ADDRESS:506 EAST FOURTH STREETTELEPHONE:
(760) 357-6875
CITY:CALEXICOSTATE: CAZIP CODE:
92231
CAPACITY:105CENSUS: 5DATE:
03/18/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Ignacia AvilaTIME COMPLETED:
04:30 PM
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On 3/18/21 at 4:00 PM, Licensing Program Analyst (LPA) Gloria Gonzalez conducted an unannounced Case Management inspection to follow-up on a self-reported incident that occurred on 3/2/21. The inspection was conducted virtually via Facetime, due to the COVID-19 state of emergency. LPA disclosed the purpose of the inspection and was granted a video tour into the facility by Director, Ignacia Avila. Director states there were 5 children 11 staff members and director at the time of the inspection.

The incident that occurred on 3/2/21 was regarding Child #1, (C1), was scratched on the arm by Staff #1, (S1). Interviews were conducted with the Center Director, 4 staff members including S1 and two children including C1, According to S1, she took the children to the restroom, when C1 tried to run off into one of the stalls. As she tried to hold C1's arm, he pulled his arm away and she accidentally scratched C1 on his arm with her fingernails.

S1 applied first aid and parent was notified of the incident. Director stated since the incident staff members were informed that they are not allowed to have long fingernails or any type of jewelry that can harm a child. On 3/4/21 staff members were notified verbally regarding this new policy.

Based on the information obtained, it was determined that the incident was accidental.

No Deficiencies cited.

A copy of the report, appeal rights (LIC 9058), and LIC9213 will be e-mailed to the licensee and licensee was advised that acknowledgement of the receipts of the report and appeal rights are to be received within twenty-four hours.
 
An exit interview was conducted.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria GonzalezTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2021
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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