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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700200
Report Date: 11/14/2019
Date Signed: 11/14/2019 01:15:45 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:ORANGE AVENUE PRESCHOOL AND DAYCAREFACILITY NUMBER:
376700200
ADMINISTRATOR:AGUILERA, ALEJANDROFACILITY TYPE:
850
ADDRESS:95 ORANGE AVENUETELEPHONE:
(619) 585-3188
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:42CENSUS: 17DATE:
11/14/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Marisol AguileraTIME COMPLETED:
01:30 PM
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LPA Armando Locano completed an unannounced case management site inspection today regarding a self-reported incident, where a 2 ½ yr old child in care (child # 1 confidential names list) suffered a seizure while attending the facility.

LPA met with assistant director / lead teacher Marisol Aguilera and discussed the incident and toured the facility. LPA spoke to teachers and confirmed the child was being properly supervised and facility took appropriate steps immediately in providing first aide and contacting parents, the child continues to attend the facility.

Per review of all information, there is no evidence of lack of supervision, or inappropriate procedures followed. Staff took appropriate steps in aiding the child, calling emergency services and contacting the parents. Based on review of all information, it has been determined facility took appropriate action in aiding the child and no violations are issued to the facility regarding this issue.

LPA provided copy of LIC 9213, “Notice of Site Visit,” and observed director posting notice during visit.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019
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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