370805438-12-18-2019-20-CC-JARL-BJYRSR-20191218121711

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 370805438
Report Date: 12/18/2019
Date Signed: 12/18/2019 12:17:21 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:	NHA-FIRST STEP HEADSTART CHILD DEV. CTR.		FACILITY NUMBER:	370805438
ADMINISTRATOR:	RUTH WILSON		FACILITY TYPE:	850
ADDRESS:	802/804 SAN PASQUAL STREET		TELEPHONE:	(619) 262-1905
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92113
CAPACITY:	84	CENSUS: 57	DATE:	12/18/2019
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Director Ruth Wilson		TIME COMPLETED:	12:13 PM

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Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a case management inspection to follow-up on an incident that occurred on 12/03/2019. LPA advised Director Ruth Wilson of the meeting’s purpose and was granted facility entry. Director Wilson provided LPA with a facility tour.

The following ratios were observed in 5 classrooms: Room 1 had eight (8) children supervised by three (3) teachers and one (1) assistant; Room 2 had seven (7) children supervised by one (1) teacher and two (2) assistants; Room 3 had twelve (12) children supervised by three (3) teachesr; Room 4 had eleven (11) children supervised by two (2) teachers; and Room 5 had nineteen (19) children supervised by four (4) teachers. LPAs observed the children to be involved in indoor and outdoor activities. Appropriate ratios were maintained, and visual observation noted. Staff present had required criminal background clearances.

A child sustained an injury which required medical treatment on 12/03/2019. The incident was self-reported by the facility to the Licensing office within the required reporting period. There were seven (7) children and three (3) teachers present during the incident. The classroom has a separated area referred as the library. This area has a window which looks upon the rest of the classroom. On 12/03/2019, staff delivered the children’s lunch to the classroom. The lunches were on a cart. The child was in the room’s library area with a teacher but ran to the classroom door. As staff opened the door and transported the lunch cart inside of the classroom, the child ran to the room door. As the door closed, the child reached into the door’s opening resulting in their finger becoming caught in the closing door. Staff immediately attended to the child by cleaning and binding the wounded finger. Staff also notified the child’s family of the incident. LPA spoke with all involved staff and inspected the classroom. The door, equipment and furniture are age-appropriate. There were no apparent hazards accessible to children. Staff positioned themselves in different zones of the classroom to provide maximum supervision to children.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: NHA-FIRST STEP HEADSTART CHILD DEV. CTR.	FACILITY NUMBER: 370805438
	VISIT DATE: 12/18/2019

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The incident appears accidental; the facility took prompt action by administering first aid and notifying the family. No deficiencies cited.

Staff was provided with A Notice of Site Visit (LIC 9213), which is to be posted for thirty (30) days. An exit interview was conducted with Director Wilson. Licensee Rights (LIC 9098 01/16) along with a copy of this report was provided to staff and their signature on this form confirms receipt of these rights.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019

LIC809 (FAS) - (06/04)

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