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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701239
Report Date: 07/09/2019
Date Signed: 07/09/2019 03:41:56 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:CHILDREN'S CHOICEFACILITY NUMBER:
376701239
ADMINISTRATOR:VAIARII BRUMMFACILITY TYPE:
840
ADDRESS:1164 NORTH SECOND STREETTELEPHONE:
(619) 442-5772
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:48CENSUS: 24DATE:
07/09/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Vaiarii Brumm, LicenseeTIME COMPLETED:
03:10 PM
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Licensing Program Analysts (LPA's) Michelle Hood and Leilani Curtis, made an unannounced visit to follow up on a self-reported incident that occurred on 06/28/2019, wherein a child (age 6) was found unresponsive, laying in the grass. Staff contacted 911. Ambulance arrived and did not take child because child was up and communicating with staff. Child's mom took child to urgent care. LPA interviewed one child and one staff members file. On the day the incident occurred 16 children and two staff members were on playground. LPA meet with Director.

It appears this is an isolated incident. The facility reported timely. Director stated child returned back to school on 07/01/2019.

No deficiencies are cited. Provided Notice of Site Visit (LIC 9213). Exit interview conducted. LPA observed Director post LIC 9213.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2019
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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