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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701358
Report Date: 12/02/2022
Date Signed: 12/02/2022 12:36:39 PM


Document Has Been Signed on 12/02/2022 12:36 PM - It Cannot Be Edited

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:OPEN MINDS LANGUAGE IMMERSION PRESCHOOLFACILITY NUMBER:
376701358
ADMINISTRATOR:EDGAR TOLEDO RAMIREZFACILITY TYPE:
850
ADDRESS:4825 COLLEGE AVENUETELEPHONE:
(619) 665-1264
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:42CENSUS: 15DATE:
12/02/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Christine TIME COMPLETED:
12:50 PM
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On 12/02/22 at 11:01am, Licensing Program Analyst (LPA) Samantha Clenista conducted an unannounced case management site inspection to follow up on a self-reported incident that occurred on 11/09/2022. LPA's initial visit to address this incident was on 11/30/22.

Upon arrival, LPA met with Director, Christine D'Amico, and proceeded to tour the facility. There were a total of 15 children with a total of 4 staff members. Children in care were observed playing indoors. Appropriate ratio, capacity and supervision was observed during inspection.

On 11/09/2022, facility reported that Child #1 sustained a broken clavicle from another child who stood up and hit his head against Child #1's collar bone during outdoor play. On LPA's initial visit conducted on 11/30/22, LPA observed where the incident occurred. Area was observed was safe, age appropriate and free of hazards. Ms. D'Amico provided LPA with related documentation prior to thart inspection. LPA interviewed staff and children during that inspection. During today's inspection, LPA conducted an interview with an additional day care child and day care parent.

Based on information gathered, LPA confirmed that no violations have been identified and that the injury Child #1 sustained was an accident. See 9102 for Technical Assistance.

LPA reviewed this report with Ms. D'Amico at conclusion of visit. LPA provided a copy of LIC 9213, “Notice of Site Visit,” and observed Ms. D'Amico post the notice during visit. Notice must remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:
DATE: 12/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/02/2022
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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