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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700115
Report Date: 02/19/2020
Date Signed: 02/19/2020 11:10:58 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:SDJA'S CHILDREN'S HOUSE: BEIT YELADIMFACILITY NUMBER:
376700115
ADMINISTRATOR:YAEL EDELSTEINFACILITY TYPE:
830
ADDRESS:11860 CARMEL CREEK ROADTELEPHONE:
(858) 704-3778
CITY:SAN DIEGOSTATE: CAZIP CODE:
92130
CAPACITY:30CENSUS: DATE:
02/19/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Assistant Director Anita IpTIME COMPLETED:
11:15 AM
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Licensing Program Analyst, Joelle Redding, made an unannounced visit to follow up on self-reported incident that occurred on 2/7/2020 wherein a 15 month old child (Child #1) got his leg caught between a fence post, sustaining a fracture.

LPA inspected the area where the incident occurred and observed the stroller in which the child was sitting. Staff #1 who was pushing a quad stroller with three infants. She stated that she was coming from the classroom and bring the walking rope to Staff #2 for transitions. Staff #1 was pushing the stroller toward the playground on the outside of the fence when she heard Child #1 cry and saw that his leg was stuck between the railings. Staff #2 who was on the playground, facing Staff #1 as she was approaching, noticed Child #1 stick his leg out to the side and through the railing, called out to Staff #1 to stop the stroller but it all happened so quickly that Staff #1 wasn't able to stop in time to prevent Child #1's leg from bending sideways before releasing. Staff #2 stated that she took Child #1 from the stroller to calm him and applied ice. She then contacted the Assistant Director, Ms. Ip, who was in an nearby classroom. Ms. Ip directed Staff #2 to transport Child #1 to the School Nurse who is an RN. Her exam was inconclusive and, as Child #1 continued to exhibit discomfort, parent was contacted for pickup. Parent authorized the administration of Tylenol which did calm Child #1 who was able to continue with lunch and nap. Parent picked up mid nap and transported the child to the doctor where xrays diagnosed a fracture. The incident occurred on Friday and the child returned the following Monday with a cast.

Since the incident the staff has been inserviced twice. Assistant Director provided a copy of the agenda and roster for the inservice conducted on 2/10/2020. There are now perimeter lines drawn along the outside of the fence that the strollers are to stay outside of. These lines extend approximately 12-18 inches away from the fence. In tight spaces, the stroller is manuevered backwards, instead of forwards and staff is to clear the stroller perimeter before pushing the stroller.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SDJA'S CHILDREN'S HOUSE: BEIT YELADIM
FACILITY NUMBER: 376700115
VISIT DATE: 02/19/2020
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At the time of the incident, there were 10 infants on the playground with three teachers. Staff #2 was the only teacher on the playground that witnessed the incident. No similar incidents have occurred.

The facility was in ratio and supervision was in place at the time of the incident. Staff responded appropriately and timely and the facility reported the incident timely to Licensing. Steps were immediately put into place to ensure that the incident does not recur and that staff are properly aware of the procedures for ensuring the continued health and safety of the children.

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

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
LIC809 (FAS) - (06/04)
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