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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600375
Report Date: 09/21/2022
Date Signed: 09/21/2022 02:43:43 PM


Document Has Been Signed on 09/21/2022 02:43 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
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: 32DATE:
09/21/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:52 PM
MET WITH:Maria CabelloTIME COMPLETED:
02:45 PM
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On 09/21/2022 at 01:45 PM, LPA Dana Stevens conducted an Unannounced Case Management visit for the purpose of follow-up on an Unusual Incident that occurred on 08/31/2022. Director accompanied LPA on a tour of the inside and outside of the facility.

On 08/31/2022 at around 8:16 AM, Child 1 (C1) was dropped off at school and was experiencing separation anxiety; crying, screaming and attempting to run out of classroom. Parent of child stated she did not like how Staff 1 (S1) handled the situation by trying to calm C1 and not allowing C1 to run out of the classroom. Parent of child decided to call police. The police arrived and stated they do not decide agency policy but wanted to ensure the peace. S1 stated no police report or case number was provided. Parent left with C1 around 8:25 AM.

LPA interviewed staff, viewed facility security video footage, and reviewed facility records. Further investigation is needed into this incident.

No deficiencies cited.

Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Dana StevensTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2022
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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