370800609-5-21-2019-20-CC-SSIO-BCDUWG-20190521155643

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 370800609
Report Date: 05/21/2019
Date Signed: 05/21/2019 03:56:50 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:	HILLCREST PRESCHOOL		FACILITY NUMBER:	370800609
ADMINISTRATOR:	TROWBRIDGE, DANA		FACILITY TYPE:	850
ADDRESS:	3900 CLEVELAND AVE		TELEPHONE:	(619) 295-4147
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92103
CAPACITY:	52	CENSUS: 39	DATE:	05/21/2019
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	02:01 PM
MET WITH:	Dana Trowbridge		TIME COMPLETED:	04:05 PM

NARRATIVE

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Licensing Program Analyst (LPA) Selina Siao conducted a case management inspection to follow-up on an incident involving the preschool program regarding an injury accident. LPA met with Director Dana Trowbridge. Facility was toured, appropriate ratios were maintained. Staff present have the required criminal background clearances and are associated to the facility.

The incident was self-reported timely to the Licensing office within the required reporting period. According to the facility's signed in sheet, there were 12 children in the classroom when the incident occurred. On 03/20/2019, around 9:15am a child in care was sitting down on the floor inside the classroom while waiting to wash his hands to eat snack. The child didn't want to wash his hand when it was his turn. The child threw himself back and hit his forehead on the leg of the chair. Ice was applied to the forehead area after the incident and the staff noticed a red mark on the child’s forehead around noon. An incident report was provided to the parent during pick up on the day of the incident.

On 3/21/2019, after snack around 3;15pm the child threw up and the parent was notified. The child was picked up from the facility shortly after the phone call. On 3/22/2019, facility was informed by email that the child was taken to the emergency room and the child sustained a concussion because of the child hit his head on the leg of the chair on 3/20/2019. Facility emailed the parent to follow up on the child's status on 3/25/2019 and called the parent to check on the child on 3/27/2019 but has not heard back from the child’s parent.

Based on available information, the incident appears accidental, the facility took prompt action by putting ice onto the child's forehead on 3/20/2019. The parent was notified when the child throws up after snack time on 3/21/2019. Facility has implemented a new procedure, children will no longer sit on the floor when they return from the playground while waiting to wash their hands. Facility now have two staff inside the classroom to help children to wash their hands at two different sinks.

No deficiencies cited. Be aware that Notice of Site Visit must be posted for 30 days.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019

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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