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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700554
Report Date: 09/24/2019
Date Signed: 09/24/2019 09:29:07 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:MAOF DIONICIO MORALES CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376700554
ADMINISTRATOR:CYNTHIA J. ROSALESFACILITY TYPE:
850
ADDRESS:2453 FENTON STREETTELEPHONE:
(619) 421-3940
CITY:CHULA VISTASTATE: CAZIP CODE:
91914
CAPACITY:90CENSUS: 56DATE:
09/24/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Martha RamirezTIME COMPLETED:
09:30 AM
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LPA Armando Locano completed an unannounced case management site inspection today regarding a self-reported incident, where a 2 yr old child in care, child # 1 (see confidential names list) suffered a cut on two fingers, as the child put her fingers on side of door leading to outside playground. Firs aid was properly followed, parents were immediately notified and child was taken to doctor. Per review by physician, no major injury, child suffered cut on two fingers and was cleared to return to the center the next day.

Facility director was not present at time of the visit, LPA met with facility lead teacher Martha Ramirez and discussed the incident. LPA toured the area where incident occurred and spoke to teachers, the child who was injured and confirmed the child was being properly supervised and facility took appropriate steps in providing first aid and contacted parents accordingly.

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 and contacting the parents. Based on a review of all information, it has been determined that there was no lack of supervision, facility took appropriate action in aiding the child and it is determined the incident was an accident, no violations are issued to the facility regarding this issue at this time. Additionally, the facility has instituted additional procedures, of having a staff member stand in the door area leading to the outside when ever children are in that area. Also a red taped area has been marked on the floor, surrounding the door area and children are now instructed to not enter the area marked on the floor in red, to prevent any further accidents.

LPA provided copy of LIC 9213, “Notice of Site Visit,” and observed director posting notice during visit.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
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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