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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845899
Report Date: 04/25/2022
Date Signed: 04/25/2022 12:59:30 PM

Document Has Been Signed on 04/25/2022 12:59 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:GRACE CHRISTIAN PRESCHOOLFACILITY NUMBER:
334845899
ADMINISTRATOR:BROWN, BAILEIGHFACILITY TYPE:
850
ADDRESS:2781 S LINCOLN AVETELEPHONE:
(951) 736-7466
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: 74DATE:
04/25/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Baileigh BrownTIME COMPLETED:
01:10 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Blanca Ruiz-Silva and Karrene Phillips arrived at the facility to conduct a case management inspection in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 03/14/2022. It documents an incident involving a child who's finger was caught in the door as children were transitioning from one room to another.

At the time of the inspection, LPAs toured the facility, took census, and met with Director, Baileigh Brown. Additional interviews with pertinent parties were conducted to obtain details regarding the reported incident.

During the inspection, LPAs toured the facility, and the area were the alleged incident took place. LPAs observed staff at the facility providing care and supervision; as well as to transition children from one activity to another.

Facility records were reviewed, and staff and children were interviewed. Based on the information gathered, child's incident was an accident as facilty staff followed care and supervision protocols. Medical attention was sought by facility and parent/legal guardian was immediately notified of the incident. Child continues to attend the facility. Facility acted appropriately and found to be in substantial compliance during this inspection.

An exit interview was conducted, and a copy of this reports was provided to facility Director, Baileigh Brown

A copy of this report must be made available to the public, at the facility site, for 3 years.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2022
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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