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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600826
Report Date: 10/10/2019
Date Signed: 10/10/2019 12:35:12 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:NHA - CHOLLAS VIEW HEAD STARTFACILITY NUMBER:
376600826
ADMINISTRATOR:FERRUSCA, ELIZABETHFACILITY TYPE:
850
ADDRESS:918 NO. 47TH STREETTELEPHONE:
(619) 263-1780
CITY:SAN DIEGOSTATE: CAZIP CODE:
92102
CAPACITY:45CENSUS: 36DATE:
10/10/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:18 AM
MET WITH:Elizabeth Ferrusca, Sofia Torres/Area DirectorTIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPAs) Selina Siao and Tyra Block conducted an unannounced visit to follow-up on a self-reported incident alleging a staff violating the children's personal rights. The incident was reported to Licensing within a timely manner on 10/07/2019. On 10/04/2019, two parents informed the facility that their child said that a staff member spanks children in care. The alleged staff has been removed from the classroom pending investigation.

LPAs conducted interviews with several children and several staff members today. The alleged staff came to the facility during the inspection and interview was conducted with her as well. Based on information gathered there is lack of evidence to support the allegation of personal rights.

The following ratios were observed today: Room 1 had 16 children supervised by substitute staff members Amalia Lozano, Teresa Munoz and teacher aide Irma Cadena. There were 20 children outside the activity areas from classroom 2 supervised by teacher Blanca Valdez, associate teacher Bertha Perez and Mai Gopez. All staff members have the required background clearances and are associated to the facility.

Facility appears to be within substantial compliance. No citation.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019
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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