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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701246
Report Date: 07/12/2019
Date Signed: 07/12/2019 09:54:29 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:OCEANSIDE SHINING STARS PRESCHOOLFACILITY NUMBER:
376701246
ADMINISTRATOR:CHRISTINA CRUZFACILITY TYPE:
850
ADDRESS:1122 SOUTH COAST HIGHWAYTELEPHONE:
(760) 435-0713
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY:28CENSUS: 19DATE:
07/12/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director Christina CruzTIME COMPLETED:
10:00 AM
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Licensing Program Analyst, Joelle Redding, made an unannounced visit to follow up on a self-reported incident that occurred on 6/20/19 wherein a 2 year old child (Child #1) tripped in the classroom, hitting his forehead on the edge of a play kitchen, sustaining a laceration requiring stitches.

LPA spoke with Staff #1 who was present with five children at the time of the incident. She stated that Child #1 was walking back and forth between two small tables to take things from the play kitchen when he picked up a little speed, and tripped. Staff #1 stated that there was nothing in his path and he didn't seem to trip on anything except his own feet. When he fell, he fell forward into the hinged area of the play kitchen cabinet and bumped his forehead. Staff #1 immediately picked him up, noticed the bleeding and called into the kitchen next door for assistance. Staff #2, who was on her break at the time, responded and assisted in putting pressure on Child #1's forehead to stop the bleeding. Child #1's parent, Staff #3, was in the infant room at the time and was notified approximately 5 minutes after the incident after the bleeding was stopped and they cleaned him up. LPA discussed the facility exploring options to make these hinges safer and prevent future incidents.

LPA observed the area. The tables had since been rearranged and the kitchen moved to a new location in the room. Director states that the play kitchen had been sideways to block the rear of the room as there had been a leak. There was a rug in the room at the time of the incident. The floor has since been replaced with wood laminate. The play kitchen is age appropriate, made of wood with metal hinges on the outside of the cabinet doors. It was these hinges that Child #1 hit his forehead. There have been no other incidents with this play kitchen which has been in place since the facility was licensed.

Supervision and ratios were met at the time of the incident. Staff responded appropriately and timely and the facility reported to Licensing per regulation. No deficiencies are cited. NOTICE OF SITE VISIT WAS POSTED AND WILL REMAIN POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2019
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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