376701419-1-19-2023-20-CC-VWIN-CN8TSD-20230119135857

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701419
Report Date: 01/19/2023
Date Signed: 01/19/2023 01:59:11 PM

Document Has Been Signed on 01/19/2023 01:59 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	BUNNYBEARS INFANT TODDLER CENTER		FACILITY NUMBER:	376701419
ADMINISTRATOR:	KATIE STANGLEWICZ		FACILITY TYPE:	830
ADDRESS:	8314 PARKWAY DRIVE		TELEPHONE:	(619) 439-7140
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	31	CENSUS: 24	DATE:	01/19/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Katie Stanglewicz		TIME COMPLETED:	02:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 1/19/23 at 9:45 am, Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection to follow up on a self – reported incident report. Upon arrival, LPA Williamson met with Director Katie Stanglewicz. LPA discussed the purpose of the inspection and proceeded to tour the facility. The following ratios were observed: Sprouts Classroom (ages 12 - 24 months) were observed on the playground with ten (10) infants and three (3) staff, in the Seedling Classroom (ages 3 - 12 months), there were 4 infants (1 of whom was napping), with two (2) staff, and in the Flowers Classroom (ages 18-36 months), there were ten children with two (2) staff. On 1/9/23, the director self- reported an incident involving Child 1 (C1) sustaining an injury to the forehead after falling near the tree stumps while on the playground. Per Director, the tree stumps are used for outdoor play for the children. On 1/9/23 at about 8:45 am., C1 was on the playground climbing on tree stumps that are used for play structures on the playground for the children. Per Staff 1 (S1) and Staff 2 (S2), the children were transitioning from the playground to the inside of the building. Both staff were assisting children with removing their shoes. Per S1, they looked up from assisting another child and observed C1 crying. C1 walked over to S1 with their hand placed on their forehead. S1 picked up C1 to comfort them, and C1 laid their head on the shoulder of S1. S2 walked over and observed blood on C1’s forehead. S2 opened the door to the facility and notified the director. Per Director, a paper towel and pressure was immediately applied to C1's forehead and then ice was applied. The parents of C1 were contacted. C1’s injury required medical attention. There were two staff and 12 children ages 18- 36 months on the playground during the time of the incident. Interviews were conducted with the director and staff. LPA reviewed sign in/sign out sheet for 1/9/23 for the Flowers Classroom.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky Williamson	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: BUNNYBEARS INFANT TODDLER CENTER	FACILITY NUMBER: 376701419
	VISIT DATE: 01/19/2023

NARRATIVE

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LPA inspected the playground area where the incident occurred and observed two tree stumps that were round and smooth with no rough edges..

Director stated that two of the taller tree stumps were removed after the incident, however all tree stumps were power sanded prior to being placed on the playground. Director stated that the four remaining tree stumps were spread out on the playground to avoid the children climbing from stump to stump. Director provided LPA with a photo of the original set up of the six tree stumps during the inspection.

Director and LPA discussed providing care and supervision to children and PIN 22-14-CCLD, Assembly Bill (AB) 1720 Implementation.

No deficiencies cited during today’s inspection. An exit interview conducted with Director Katie Stanglewicz. Director was provided a copy of this report along with the Appeal Rights (LIC 9058), Confidential Names List (LIC 811) and Notice of Site Visit. Notice of Site Visit shall be posted for 30 days from today's date. LPA observed the Director post the Notice of Site Visit on the information board at the entry way of facility. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky Williamson	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023

LIC809 (FAS) - (06/04)

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