<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700040
Report Date: 08/26/2021
Date Signed: 08/26/2021 11:24:44 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:CHILDREN'S ATELIER CENTERFACILITY NUMBER:
376700040
ADMINISTRATOR:ANDREA HERNANDEZFACILITY TYPE:
850
ADDRESS:1508 WINDSOR ROADTELEPHONE:
(760) 942-3240
CITY:CARDIFF BY THE SEASTATE: CAZIP CODE:
92007
CAPACITY:52CENSUS: DATE:
08/26/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Director Andrea HernandezTIME COMPLETED:
11:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 8/26/21 @ 10:30 a.m. , Licensing Program Analysts, Joelle Redding and Leandra Dolliole, made an unannounced visit to follow up on a self-reported incident that occurred on 8/3/21, wherein a child (Child #1) fell on off a play tunnel on the playground, sustaining a fracture to the elbow.

LPAs spoke with Director and Staff #1 who observed and responded to the incident. The group of 8 children had just come out to the playground for the afternoon. There were two staff present. Staff #1 was facing the play area and called out to the children to come over to her so that they could participate in a dance/music activity. She noticed that Child #1 was sitting on the top of the play tunnel and slid sideways. Staff #1 walked over and found her sitting on the ground beside the tunnel. She asked if she was hurt and Child #1 started crying. Staff #1 redirected her to sit down in the shade, assessed her for injury and, per Child #1, determined that she injured her arm in the elbow area. Ice was applied and the arm was immobilized with a gauze sling. The child's parent was already on the way to pick up for the day and arrived approximately 15 minutes after the incident. She was taken to the doctor for follow up and eventually the arm was placed in a cast. She has since moved on to a kindergarten program for the new school year.

LPA's observed and inspected the area where the incident occurred. The cushioning is formed rubber woodchips and was sufficient and in good repair around the play structure. The facility was in ratio with 2 staff to 8 children and Staff #1 was directly observing the child when the incident occurred. Director stated that they sit down with the children and have periodic discussions as to how the equipment is to be used safely. Redirecting the older children seems to be a constant.

No deficiencies are cited.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1