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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701225
Report Date: 12/11/2019
Date Signed: 02/13/2020 04:21:30 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:CHILDREN'S CHOICEFACILITY NUMBER:
376701225
ADMINISTRATOR:VICTORIA WASHINGTONFACILITY TYPE:
840
ADDRESS:8824 COTTONWOOD AVETELEPHONE:
(619) 457-0381
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:14CENSUS: 10DATE:
12/11/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Victoria WashingtonTIME COMPLETED:
04:15 PM
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LPA Armando Locano completed an unannounced case management site inspection today regarding a self-reported incident which occurred yesterday, involving bathrooms in adjacent church building, used by facility staff, where an adult was found on staff bathroom floor requiring medical attention. LPA met with Director Victoria Washington who explained that facility contacted Emergency Services immediately and adult was transported to hospital. The incident did not involve any daycare children or daycare facility staff or any part of the daycare operation. An Incident Report was submitted to licensing LPA A Locano today, explaining the details in a timely manner.

LPA toured the area where incident occurred and spoke to teachers who were present during the incident. Per review of all information, there is no evidence of any issue affecting the childcare operation or children in care. As such, it is determined the incident was a medical accident and facility acted properly by contacting Emergency Services, no violations are issued to the facility regarding this issue at this time.

LPA provided copy of LIC 9213, “Notice of Site Visit,” and observed director posting notice during visit.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
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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