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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600375
Report Date: 03/12/2020
Date Signed: 03/12/2020 05:33:10 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:ECS HARBISON HEAD STARTFACILITY NUMBER:
376600375
ADMINISTRATOR:MARIA CABELLOFACILITY TYPE:
850
ADDRESS:1540 SOUTH HARBISON AVENUETELEPHONE:
(619) 475-1765
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY:78CENSUS: DATE:
03/12/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
04:10 PM
MET WITH:Site Supervisor Maria CabelloTIME COMPLETED:
05:30 PM
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LPA, Luigi Gargaro, conducted an unannounced visit to the facility today to follow up on a self reported incident in which child #1 was separated from his class when transitioning from the playground to his classroom. During today's visit analyst conducted interviews with the facility director and a present staff member. The child involved in the incident and lead teacher and other staff were not present during visit. Additional investigation is required.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020
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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