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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005598
Report Date: 10/12/2023
Date Signed: 10/12/2023 01:06:27 PM

Document Has Been Signed on 10/12/2023 01:06 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MAGDALENA ECKE YMCAFACILITY NUMBER:
372005598
ADMINISTRATOR:KARISA RIDDLEFACILITY TYPE:
850
ADDRESS:200 SAXONY ROADTELEPHONE:
(760) 942-9622
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY: 152TOTAL ENROLLED CHILDREN: 152CENSUS: 98DATE:
10/12/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Karisa RiddleTIME COMPLETED:
01:15 PM
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On October 12, 2023 at 10:30 a.m. Licensing Program Analyst’s (LPA’s), Leilani Curtis and Renita Rodriguez, conducted an unannounced inspection to follow up on a self-reported incident that occurred on 10/2/23, wherein a child (C1) fell and injured himself on a fig tree. LPA's and Coordinator Rachel Markwald toured the facility. There were 98 children with 17 staff members present. Appropriate ratio/capacity was observed. Staff members have the required background clearances and are associated to the facility.

LPA’s interviewed staff #1 (S1), staff #2 (S2), child #1 (C1) and child #2 (C2). On 10/2/23 at approximately 5:00 p.m. C1 was playing near a tree when he fell and hit his jaw on the tree resulting in a puncture wound. S1 comforted the child, and applied pressure and first aid to the wound. Facility staff called 911 and the parents of C1 were notified. After the incident the parent of C1 was given an accident report. C1 was taken to the hospital where the wound was treated. C1 returned to care on 10/05/23. At the time of the incident there were 10 children on the playground being supervised by two staff members. Appropriate ratio/supervision was in place. The staff members responded to the injury appropriately and reported timely. LPA’s inspected the playground where the incident occurred. LPA’s observed multiple low, climbable trees on the playground. The director states that facility maintenance and YMCA Leadership inspected the playground space to identify any potential hazards. Low tree branches and a wooden post next to the fig tree were removed prior to the inspection.

No deficiency cited.

An exit interview was conducted with Director Karisa Riddle and Appeal Rights (LIC 9058) were discussed. The director’s signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA's observed the director post notice of site visit.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2023
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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