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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600770
Report Date: 02/09/2024
Date Signed: 02/09/2024 11:56:48 AM

Document Has Been Signed on 02/09/2024 11:56 AM - 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:CUYAMACA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376600770
ADMINISTRATOR:TINA CRUZFACILITY TYPE:
850
ADDRESS:900 RANCHO SAN DIEGO PARKWAYTELEPHONE:
(619) 660-4660
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY: 75TOTAL ENROLLED CHILDREN: 35CENSUS: 20DATE:
02/09/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Tina CruzTIME COMPLETED:
12:20 PM
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On 2/9/24 @9:00 am, Licensing Program Analyst (LPA) Patrick Ma, visited the facility to conduct a case management site inspection. The purpose of this visit is to follow up on a self-reported incident that was reported to the Department on 1/26/24 where Child #1 sustained an injury in the classroom. Upon arrival, LPA met with Director, Tina Cruz.

Director reported to the Department that, Child #1 (C1) was playing by a bookshelf when another child pushed it over and fell on C1. Staff immediately removed the bookshelf, comforted and provide first aid to C1 then contacted family.

LPA conducted staff interviews, made a confidential names list, reviewed related documents, and inspected classroom equipment. Bookshelf is age appropriate and in good repair. However, facility has removed it from the classroom as a precautionary measure. Proper supervision and ratios were in place at time of the incident.

No deficiencies were cited during this visit.

Exit interview conducted and report was reviewed with the facility representative Tina Cruz. A notice of site visit was given and must remain posted for 30 days
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2024
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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