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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105040
Report Date: 06/27/2024
Date Signed: 06/27/2024 02:51:35 PM

Document Has Been Signed on 06/27/2024 02:51 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:KLASSIC KIDS - GREEN ELEMENTARY SCHOOLFACILITY NUMBER:
376105040
ADMINISTRATOR/
DIRECTOR:		KRISTEN GONZALEZFACILITY TYPE:
840
ADDRESS:7030 WANDERMERE DRIVETELEPHONE:
(858) 603-9215
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: DATE:
06/27/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:55 PM
MET WITH:Susan HansenTIME VISIT/
INSPECTION COMPLETED:
01:44 PM
NARRATIVE
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On 6/27/24 at 12:55PM , LPA Annette Sutherland made an unannounced case management visit for the purpose of following up on 2 self reported incidents that occurred on 6/5/24 when a child fell and hit their head and & another incident on 6/11/24 where a child fell off the monkey bars. Present today were a total of 33 children and 4 staff members.

LPA toured the facility and interviewed Site Director, Susan Hansen. Areas observed were the playground and blacktop where the incidents occurred. At the time of the incident the program was within staff to child ratio requirements. The playground has sufficient padding and is age appropriate. Since the incident a plan has been put in place, to prevent future incidents as the ones that occurred. There were no similar incident reports, prior to this or after, available for LPA to review in children's records.
 
No deficiencies cited today.

NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Director Susan Hansen post notice of site visit.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024
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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