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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806460
Report Date: 02/28/2020
Date Signed: 02/28/2020 02:39:40 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:AKA HEAD START - LA MESAFACILITY NUMBER:
370806460
ADMINISTRATOR:OHLY, ROWENAFACILITY TYPE:
850
ADDRESS:7520 EL CAJON BLVD STE 201/203TELEPHONE:
(619) 463-1093
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY:60CENSUS: 53DATE:
02/28/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Rowena Ohly, Facility DirectorTIME COMPLETED:
02:40 PM
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Licensing Program Analyst (LPA), Marie Hernandez conducted the case management inspection due to an incident that occurred on 02/25/2020 at approximately 9:30 AM with child #1. The facility self reported the incident to the Department. The facility reports that child #1 was placing a pillow on child #2 in a playful manner and the teacher provided child #1 with a warning to stop. The teacher walked over to child #1 and asked child twice to come with her however, the child did not listen to the teacher. The teacher picked up child #1 and held child by his feet and arms. The incident was observed by a witness. LPA conducted several interviews with the staff, child in question and other day care children. The teacher in question could not be interviewed today as she is suspended until further notice. The witness and the substitute teacher could not be interviewed either as they are not present at the facility today. The Director stated the parent was contacted and advised of the incident. The Director stated child #1 did not sustain any bruising or injuries. The Director stated child #1 returned to the facility the next day after the incident. The incident requires further review at this time.

No deficiency cited today. An exit interview was conducted and a copy of the report and the Notice of Site Visit was provided to the Director. LPA observed the Director post the Notice of Site Visit in a prominent place. The Director states it is understood that this notice must be posted for 30 days.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020
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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