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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701419
Report Date: 03/16/2023
Date Signed: 03/16/2023 03:39:51 PM


Document Has Been Signed on 03/16/2023 03:39 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 CENTERFACILITY NUMBER:
376701419
ADMINISTRATOR:KATIE STANGLEWICZFACILITY TYPE:
830
ADDRESS:8314 PARKWAY DRIVETELEPHONE:
(619) 439-7140
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:31CENSUS: 24DATE:
03/16/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Katie StanglewiczTIME COMPLETED:
03:55 PM
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On 3/16/2023 at 3:15pm, Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection. 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) had ten (10) infants and three (3) staff, in the Seedling Classroom (ages 3 - 12 months), there were 4 infants (2 of whom was napping), with two (2) staff, and in the Flowers Classroom (ages 18-36 months), there were ten (10) children with two (2) staff.

On 1/9/2023, 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 1/9/2023 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 beginning there transition from the playground to the inside of the building during the time of the incident. S1 and S2 stated that the incident was an accident. 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 immediately. 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.

LPA conducted interviews with the director, staff and the parent of C1. C1 was unable to be interviewed. LPA inspected the playground area where the incident occurred and observed two tree stumps that were round and smooth with no rough edges and per director were powered sanded prior to being placed on the playground. LPA did not observe any safety concerns. Director stated that two of the taller tree stumps were removed after the incident. Director provided LPA with a photo of the original set up of the six tree stumps during the inspection. This incident is determined to be accident.

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/16/2023
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: 03/16/2023
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No deficiencies cited. 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 VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
LIC809 (FAS) - (06/04)
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