372000227-2-24-2021-51-CC-ALMA-BYK3KD-20210224171858

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 372000227
Report Date: 02/24/2021
Date Signed: 02/24/2021 05:19:31 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:	GILLISPIE SCHOOL		FACILITY NUMBER:	372000227
ADMINISTRATOR:	MINDY COATES SMITH		FACILITY TYPE:	850
ADDRESS:	7380 GIRARD AVENUE		TELEPHONE:	(858) 459-3773
CITY:	LA JOLLA	STATE: CA	ZIP CODE:	92037
CAPACITY:	140	CENSUS: 70	DATE:	02/24/2021
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Mindy Coates-Smith		TIME COMPLETED:	04:12 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 2/24/21 at 1:40 PM, Licensing Program Analyst (LPA) Adrian Mangina made an unannounced Case Management-Incident visit to follow-up on two separate self-reported incidents that occurred on 2/17/21 and 2/18/21. Both incidents involved the same child. The first occurred on 2/17/21 when child#1 collided with child#2 and bumped heads and the second incident on 2/18/2021 wherein child#1 fell off a stool hitting head. The inspection was conducted virtually, via Facetime, due to the COVID-19 pandemic restrictions. LPA Mangina met virtually with Director Mindy Coates-Smith and toured the facility. All required notices, forms and licenses were posted. During the first incident, at approximately 10:00 AM on 2/17/2021, 11 children from the Rosewood classroom (3-4-year-olds) were all playing outside during morning outdoor exploration while supervised by two teachers. Staff #1 stated that she did not witness the accident but was supervising children about 20 feet away, to properly supervise the children. Staff #2 stated that she observed the incident. She said that she was watching five or so children in the garden area outside Atelier Building when she saw Child #1 running towards a friend and accidentally collided bumping heads on impact. Child #2 was uninjured, but Child #1 began to cry and complain of right ear pain. Staff #2 examined the child’s ear and found a red mark there that disappeared shortly after the incident. The child was offered an ice pack but refused. Since the incident, the Rosewood classroom teachers have reminded the children to be more aware of the space they occupy and where their friends are in order to prevent such accidents in the future. The second incident happened at around 9:00 AM on 2/18/2021 in the Rosewood classroom during morning circle time. There were 9 children being supervised by one teacher. Staff #1 left the classroom and returned just as Child #1 fell. Staff #2 was supervising the children who were celebrating 100 days of school by throwing and catching confetti that the teacher had made. The circle was being held on a large area rug just (continued on LIC809 page 2)

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2021

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: GILLISPIE SCHOOL	FACILITY NUMBER: 372000227
	VISIT DATE: 02/24/2021

NARRATIVE

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inside the classroom door. Child #1 had asked the teacher for some confetti and when Child #1 got the confetti, Staff #1 said that she saw the child back up and could not tell if Child #1 tripped over a ten-inch high upholstered stool or if the child had attempted to climb the stool. Staff #2 was five feet away and watched the child back into the stool, unable to catch the child. Child #1 began to cry immediately and grabbed Their head and inconsolable for about 20 minutes. Staff #1 cuddled the child while Staff#2 called for the nurse to attend to the child. The nurse examined the child and found no evidence of a bruise or bump, Parents were notified and advised they take the child to the doctor. The child appears to be back to normal with no lasting effects. Director Coates-Smith said that the teachers have since advised the children to be careful and not to climb on the stools.

LPA observed that supervision was in place, ratios were met, the facility responded appropriately and reported timely. This appears to be two random accidents. No deficiencies are cited.

An exit interview was conducted with Director. Appeal Rights (LIC9058) will be sent along with the report (LIC809) via e-mail to the Applicant. Applicant’s reply to email is considered signature and confirmation of receipt. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2021

LIC809 (FAS) - (06/04)

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