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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370800236
Report Date: 11/03/2023
Date Signed: 11/03/2023 03:08:20 PM

Document Has Been Signed on 11/03/2023 03:08 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:GRAHAM MEMORIAL PRESCHOOLFACILITY NUMBER:
370800236
ADMINISTRATOR:VALERIE LEWISFACILITY TYPE:
850
ADDRESS:949 C AVENUETELEPHONE:
(619) 435-2182
CITY:CORONADOSTATE: CAZIP CODE:
92118
CAPACITY: 70TOTAL ENROLLED CHILDREN: 70CENSUS: 48DATE:
11/03/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Jessica DiGrazia, DirectorTIME COMPLETED:
01:45 PM
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On 11/03/2023 at 12:40 pm, Licensing Program Analyst (LPA), Michelle Hood, made an unannounced visit to follow up on a self reported incident wherein a three year old child fell and hit the curb while running in the playground area. The child sustained a small cut on the head. LPA was greeted by the director Jessica DiGrazia. A total of 48 children with 10 teachers during today's inspection.

LPA spoke with director about the incident. The child was not available today. The LPA observed and took pictures of the area of the playground where the child was injured. The staff remind the children to walk, not run while on the playground. It appears that this was a random accident. Ratios were met, supervision was in place, the staff responded appropriately and the facility reported timely.

An exit interview was conducted and the report was reviewed with the director. The licensing report, appeal rights and notice of site visit will be e-mailed to the director. The director was advised that acknowledgment of receipt of the report are to be received within twenty-four hours. No deficiencies are cited.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE: DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/03/2023
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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