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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370800112
Report Date: 09/05/2023
Date Signed: 09/05/2023 01:42:34 PM


Document Has Been Signed on 09/05/2023 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108



FACILITY NAME:CHILDREN'S PARADISE, THEFACILITY NUMBER:
370800112
ADMINISTRATOR:BROWNLEE, JOE ANNFACILITY TYPE:
850
ADDRESS:6038 CUMBERLAND STREETTELEPHONE:
(619) 475-0683
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:60CENSUS: 6DATE:
09/05/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Joe Ann Brownlee, DirectorTIME COMPLETED:
02:00 PM
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On 09/05/2023 at 12:45 pm, Licensing Program Analysts (LPAs) Michelle Hood and Amber Hopkins made an unannounced visit to follow up on a self reported incident wherein a 6 year old child attempted to jump off the playground equipment and sustaining an injury to the elbow.

LPAs spoke with the child's mother, the director and one staff during the inspection. The staff and parent stated the child jumped from the last step from the playground equipment and land on the right elbow.

LPAs observed the area and play equipment. Ratios were met, supervision was in place, the staff responded appropriately and the facility reported timely. It appears that this was a random accident.

An exit interview was conducted, and the report was reviewed with the director Joe Ann Brownlee. The director was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. No deficiencies were cited.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:
DATE: 09/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/05/2023
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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