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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701060
Report Date: 09/12/2022
Date Signed: 09/12/2022 11:36:03 AM


Document Has Been Signed on 09/12/2022 11:36 AM - It Cannot Be Edited

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:LIGHTHOUSE CHRISTIAN PRESCHOOLFACILITY NUMBER:
376701060
ADMINISTRATOR:DOROTHY EVANSFACILITY TYPE:
850
ADDRESS:1345 SKYLINE DRIVETELEPHONE:
(619) 740-0021
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY:75CENSUS: 17DATE:
09/12/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:39 AM
MET WITH:Dorothy Evans TIME COMPLETED:
10:14 AM
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On 09/12/22 at 08:39 a.m., Licensing Program analyst (LPA), Rajani Goudreau conducted an unannounced case management inspection to follow up on an incident that was self-reported to the department. Upon arrival, LPA met with the Director, Dorothy Evans and disclosed the purpose of the inspection. LPA proceeded to tour the facility and observed the following ratios: #103 (3 children/2 staff), #104 (2 children/2 staff), #110 (4 children/1 staff), #109 ( 2 children/2 staff), and #120 (6 children/3 staff). Facility operates Monday through Friday from 7:00 a.m. to 5:30 p.m.

An unusual incident report (UIR) was submitted to the department on August 23, 2022 alleging a possible personal rights violation that occurred on August 08, 2022. Interviews were conducted with staff members, parent, child involved in possible personal rights violation and children in care. Based on the information obtained there were no violations found. LPA informed the director of the timelines for reporting UIR’s to the Department. Director acknowledged understanding.

No deficiencies issued during today's inspection. Notice of Site Visit (LIC9213) shall be posted for 30 days from today's date. Exit interview conducted with Director, Dorothy Evans.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Rajani GoudreauTELEPHONE: (619) 767-2215
LICENSING EVALUATOR SIGNATURE:
DATE: 09/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/12/2022
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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