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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406213520
Report Date: 01/13/2020
Date Signed: 01/13/2020 02:52:03 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:INSPIRATIONS PRESCHOOL CENTERFACILITY NUMBER:
406213520
ADMINISTRATOR:TERRY DEL GIORGIOFACILITY TYPE:
850
ADDRESS:925 VINE ST.TELEPHONE:
(805) 238-6888
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:52CENSUS: 30DATE:
01/13/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Terry Del GiorgioTIME COMPLETED:
01:35 PM
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Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Case Management Inspection and met with Director Terry Del Giorgio. There were 24 Preschool children, 6 toddlers and 7 teachers present including the director.

On 12/9/2019 around 10:30 AM, pre school children were in the play ground doing outdoor activities. There were 9 preschoolers and 2 fully qualified teachers when the incident occurred. Child # 1 was playing in the round sand box and fell against the wooden rim surrounding the sandbox. During the inspection on 1/13/2020 LPA interview with Director revealed that Staff # 1 was with child 1 during the incident. Child # 1 hit Child # 1's left side of the neck. Director and Staff # 1 checked Child # 1's neck and observed to be red. Staff #1 attempted to put an ice pack but Child # 1 refused it. Staff # 1 observed that Child # 1 began to hold Child # 1's side of the neck, director called the parent at approximately 11:00 AM. Parent of Child# 1 arrived at 11:48 am and brought Child # 1 to the doctor. An x ray procedure was performed and the result did not show any irregularities. Child # 1 was sent home for parents' continuous observation. Child # 1 reported back to school on December 11, 2019.
Staff # 1 was not present for interview during the inspection.

During the Case Management Inspection, no deficiencies were cited.

LPA observed Director posted the notice of Site Visit.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020
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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