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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701170
Report Date: 09/03/2019
Date Signed: 09/03/2019 12:14:42 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:NEXT GENERATION EDUCATIONAL CENTERFACILITY NUMBER:
376701170
ADMINISTRATOR:EMALINA LEDBETTERFACILITY TYPE:
840
ADDRESS:8989 MIRA MESA BOULEVARDTELEPHONE:
(858) 536-8800
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:14CENSUS: 0DATE:
09/03/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:51 AM
MET WITH:Licensee Geralyn WindtTIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a case management inspection to follow-up on an incident that occurred on 08/08/2019. LPA advised Licensee Geralyn Windt of the meeting’s purpose and was granted facility entry. Licensee Windt provided LPA with a facility tour. Care is only provided in one (1) classroom. No children were in care.

A child sustained an injury and required medical treatment on 08/08/2019. The incident was self-reported by the facility and a written report was received in the Licensing office within the required reporting period. On 08/08/2019, at approximately 4:55 PM, the child played in the playground when they picked up a ball bumping their eye upon a tricycle resulting in an approximately 1/8th to 1/4th inch cut below their right eyebrow. Staff washed the child’s wound and applied an ice pack to the area. Staff contacted the parents about the incident.

During today’s visit, LPA inspected the playground and tricycle. LPA also reviewed facility records and interviewed staff. No deficiencies cited.

Staff was provided with A Notice of Site Visit (LIC 9213), which is to be posted for thirty (30) days. LPA observed staff post this notice.



An exit interview was conducted with Licensee Windt. Licensee Rights (LIC 9098 01/16) along with a copy of this report was provided to Licensee Windt and their signature on this form confirms receipt of these rights.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2019
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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