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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600282
Report Date: 02/28/2020
Date Signed: 02/28/2020 11:08:23 AM

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 - BARBARA Y. FIELDING EARLY LEARNING ACADEMYFACILITY NUMBER:
376600282
ADMINISTRATOR:PAOLA CARBAJALFACILITY TYPE:
830
ADDRESS:841 SOUTH 41ST STREETTELEPHONE:
(619) 263-7761
CITY:SAN DIEGOSTATE: CAZIP CODE:
92113
CAPACITY:40CENSUS: 20DATE:
02/28/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Paola Carbajal TIME COMPLETED:
11:15 AM
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On 02/28/20 at 8:30 a.m., Licensing Program Analyst (LPA), Rajani Goudreau conducted an unannounced case management incident inspection to follow up on a self-reported incident that occurred on 02/04/20.  Upon arrival, LPA met with Director, Paola Carbajal and proceeded to tour the facility. The following ratios were observed: 20 children in care with 10 staff present. Facility is within proper ratio/capacity limitations. Facility operates Monday through Friday from 7:00 a.m. to 5:30 p.m.

The incident was self-reported by the facility in a timely manner to Community Care Licensing on 02/05/20. Information gathered indicates, on 02/04/20,  two company employees during a classroom observation observed staff # 1 (S1) restraining children in care as a form of redirection. LPA observed video footage dated of 02/04/20 of classroom #3. LPA was unable to see the entire classroom on video footage due to the angle of the camera.  LPA observed in video footage seven children in care with two staff members. LPA observed staff in video, interacting and playing with children in a positive manner. LPA observed in video footage, staff #1 (S1) redirecting child #1 (C1) by holding child's hands and guiding child to an activity. LPA did not observe C1 to be in distress.  During review of video footage, LPA determined typical redirection procedure for staff is to hold the children's hands and guide them to an activity. According to staff, an incident occurred on 02/04/20 during circle time where child #2 (C2) was playing behind S1 while attempting to climb on the couch. S1 indicated she placed her hand over a space near the couch to prevent child from climbing on the couch. In addition, another situation occurred during circle time where S1 was holding the hand of child #3 (C3) and child started to pull away and S1 continued to hold onto C3's hand. Based on staff and children interviews and video footage review,  LPA was unable to  determine S1 restrained a child or children in care resulting in a personal rights violation. S1 was placed on leave on 02/04/20 pending review of the incident. S1 returned to work on 02/10/20 with no violations found. LPA discussed with Director, strategies for positive redirection. LPA obtained facility roster during visit. See LIC809-C continuation page...
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
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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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 - BARBARA Y. FIELDING EARLY LEARNING ACADEMY
FACILITY NUMBER: 376600282
VISIT DATE: 02/28/2020
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No deficiencies were issued during today's visit. An exit interview was conducted with Director. LPA discussed and provided licensee with the following forms: LIC809 and LIC9213 - Notice of Site Visit. LPA informed Director Notice of Site Visit shall be posted for 30 days from today's date. LPA observed LIC9213 posted prior to exiting facility.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
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
LIC809 (FAS) - (06/04)
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