376700820-6-29-2021-20-CC-RGOU-C4FU9W-20210629152349

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700820
Report Date: 06/29/2021
Date Signed: 06/29/2021 03:23:56 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:	HONEY BEAR PRESCHOOL & CHILDCARE CENTER - INFANT		FACILITY NUMBER:	376700820
ADMINISTRATOR:	REBECA GARCIA		FACILITY TYPE:	830
ADDRESS:	4426 MENTONE STREET		TELEPHONE:	(619) 224-4733
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92107
CAPACITY:	53	CENSUS: 28	DATE:	06/29/2021
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	12:31 PM
MET WITH:	Michelle Parker		TIME COMPLETED:	04:00 PM

NARRATIVE

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On 06/29/21 at 12:31 p.m., Licensing Program Analyst (LPA), Rajani Goudreau conducted an unannounced Case Management Incident Inspection. Upon visit, LPA met with the Vice President, Michelle Parker and disclosed the purpose of the inspection. LPA proceeded to tour the facility and observed 28 infants in care with nine staff members present. Facility operates Monday through Friday from 8:00 a.m. from to 4:30 p.m.

The purpose of today’s inspection is to follow up regarding an incident that was self-reported to the department on May 25, 2021. On May 25, 2021 at 9:00 a.m., in the Baby Bears C classroom child #1 (C1, see LIC811-Confidential names list) was placed in a highchair without being buckled in and fell out of the highchair falling on the floor sustaining a small bump on the left side of C1’s forehead. During the incident, there were eight infants in care with two staff members; staff #1 and staff #2 (S1 & S2, see LIC811-Confidential names list). S2 was preparing snack for the children in the classroom and S1 was transitioning the children into the highchairs and eating tables. During this time, S1 placed C1 in the highchair and turned her back for a couple of seconds to attend to another child that was crying, when C1 leaned to the side of the highchair falling on the ground. S1 immediately assessed the child for injures. S1 observed a red bump on the left side of C1’s forehead. S1 immediately applied first aid to the bump by applying an ice pack to the child’s forehead. S2 notified the director of the incident. The director contacted the parent informing the parent of the incident. C1 parent #1 (P1) shortly arrived at the facility and picked the child up. The injury was examined by C1’s doctor with no additional follow up needed. C1 returned to care the following day with no restrictions. Based on information obtained from staff and parent interviews, supervision was in place, ratios were met, the facility responded appropriately and reported timely. According to the director, due to the occurrence of the incident the director reminded all the infant teachers that when an infant is placed in a highchair they are to be immediately buckled in for safety.

No deficiencies were cited during today’s inspection. An exit interview was conducted with the licensee representative. The following reports were discussed and provided: LIC809, Appeal rights (LIC 9058) and Notice of Site (LIC 9213). The Notice of Site Visit shall be posted for 30 days from today's date.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021

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: HONEY BEAR PRESCHOOL & CHILDCARE CENTER - INFANT	FACILITY NUMBER: 376700820
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/29/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/30/2021 Section Cited	1 2 3 4 5 6 7	2222
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani Goudreau	TELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021

LIC809 (FAS) - (06/04)

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