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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410500303
Report Date: 12/06/2019
Date Signed: 12/06/2019 04:28:42 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:HIGHLANDS CHRISTIAN SCHOOLSFACILITY NUMBER:
410500303
ADMINISTRATOR:MELANIE CABIEFACILITY TYPE:
850
ADDRESS:1900 MONTEREY DRIVETELEPHONE:
(650) 873-4090
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY:300CENSUS: DATE:
12/06/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Rosie MoralesTIME COMPLETED:
04:40 PM
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Licensing Program Analysts (LPAs) Jyoti Saini and Andrea Medlin met with staff for this case management visit. Purpose of the visit is due to a self reported unusual incident. On 10/11/2019, a child (C1) was seated at a children's table with connecting chairs. The child (C1) climbed out of the chair and fell. The fall resulted in child hitting his head; staff noticed a small bump on his head and applied first aid treatment, i.e. ice pack. This incident happened close to pick up time. Parent arrived to pick up child approximately 30 minutes after the incident. Staff was in process of informing the parent through an electronic application called "Bright Wheel" that texts the parents of the incident. Staff had not finished this process before parent arrived. Staff tried to explain the situation to parent but the situation escalated inside the classroom and parent was redirected to another area away from children to discuss the incident. There was no serious injury and child returned to the center the next operational day.

This appears to have been an isolated incident. In response, facility has removed the table with connecting chairs and replaced with an age appropriate table and chairs. No apparent health and safety hazards identified. Facility took appropriate action.

This report is reviewed with staff and a copy of this report must be made available for public review upon request.

Notice of site visit posted and shall remain posted for 30 days.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jyoti SainiTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2019
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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