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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701002
Report Date: 07/08/2019
Date Signed: 07/08/2019 08:55:02 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S PARADISE INC.- SCHOOL AGEFACILITY NUMBER:
376701002
ADMINISTRATOR:JAMIE PORTERFACILITY TYPE:
840
ADDRESS:986 W EL NORTE PKWYTELEPHONE:
(760) 480-1300
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY:30CENSUS: 11DATE:
07/08/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Jamie PorterTIME COMPLETED:
09:00 AM
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On this date and time, Licensing Program Analyst (LPA) Laura Callahan met with Director Jamie Porter, toured the facility and took census.

A case management visit is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 05/20/19.

LPA conducted two prior visits to the facility on 05/29/19 and 06/06/19 in regards to this incident. During the visits, LPA conducted interviews and reviewed facility records. It was reported that on 05/15/19, Child #1 was punched and hit by Child #2 while playing a game.

Ms. Porter stated that Child #2 became upset while playing with Child #1 and reacted by hurting Child #1. Ms. Porter stated that the staff did not anticipate the behavior and therefore, was not able to prevent it. Ms. Porter stated that Child #2 in no longer enrolled at the facility.

Although Child #1 was hurt by Child #2, no violations have been identified at this time in regards to the reported incident.

An exit interview was conducted and a copy of this report was provided to Ms. Porter at the time of this visit. This report shall be made available for public review for 3 years.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura CallahanTELEPHONE: (951) 204-4913
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2019
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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