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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701310
Report Date: 05/05/2021
Date Signed: 05/05/2021 03:55:25 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:MAGDALENA ECKE FAMILY YMCA - SCHOOL-AGE (FARM LAB)FACILITY NUMBER:
376701310
ADMINISTRATOR:AUSTIN ROWEFACILITY TYPE:
840
ADDRESS:441 QUAIL GARDENS LANETELEPHONE:
(760) 423-9459
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:101CENSUS: DATE:
05/05/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Assistant Director Brittney CouglarTIME COMPLETED:
03:15 PM
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On 5/5/2021 @ 2:30 p.m., Licensing Program Analyst, Joelle Redding, conducted a virtual case management visit due to Covid-19 restrictions. The purpose of this visit is to evaluate the circumstances surrounding two self-reported incidents as follows:

On 3/23/21, a 7 year old child (Child #1) tripped over a log, sustaining a fracture of the elbow/arm area and on 4/15/21, an 8 year old child (Child #2) fell while playing a game of tag, sustaining a small laceration to the the head from a rock on the ground.

Staff #1 who was present during both incidents and Assistant Director Brittney Couglar, showed LPA the area where both incidents occurred. LPA interviewed Child #2 as well as Child #3 and #4 who were witnesses to Child #1's fall. The terrain around the area was inspected and photos were obtained. The program does incorporate a large field with bushes and rocks as part of the play area as well as large logs made for sitting or walking on. The incidents were described by all parties spoken with, as accidentally occurring during normal play with Staff #1 close by. With regard to the incident on 3/23, Staff #1 was outside with just 10 children towards the end of the day and observed Child #1 trip over the log, calling out to be careful as it was noted the child was occupied with an object and not walking without watching. Staff #1 was close, but not close enough to physically intervene but immediately responded. In the instance of the incident on 4/15, Staff #1 was stationed between the lunch tables and the field area with 14 children, half of who were still at the tables and the other half who had just finished and were running around on the field area, within several feet. Staff #1 had just switched attention to the tables when Child #2 cried out. Staff #1 responded and, after evaluation, it was determined that no medical attention was required. Supervision was in place, ratios were met, staff responded appropriately and the facility reported timely. No deficiencies are cited.

This report and Notice of Site Visit is being delivered via email due to Covid-19 restrictions. Facility's reply to this email is considered confirmation of receipt. Notice of Site Visit is to be posted for 30 days.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2021
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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