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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374844882
Report Date: 03/08/2023
Date Signed: 03/08/2023 12:08:23 PM

Document Has Been Signed on 03/08/2023 12:08 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:LEAPS AND BOUNDSFACILITY NUMBER:
374844882
ADMINISTRATOR:LIANNE HOLGATEFACILITY TYPE:
850
ADDRESS:270 WEST CREST STREETTELEPHONE:
(760) 480-9787
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY: 66TOTAL ENROLLED CHILDREN: 54CENSUS: 37DATE:
03/08/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Lianne HolgateTIME COMPLETED:
12:00 PM
NARRATIVE
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On March 8th, 2023, Licensing Program Analyst (LPA), Sumayya Habeebulla met with Leaps and Bounds (CCC), Director, Lianne Holgate to discuss an unusual incident that was not reported to Community Care Licensing (CCL).

The Department was made aware of the incident of a child in the preschool classroom walking out of the facility without being noticed by any staff present at the facility. LPA informed Ms. Holgate that any unusual incident that occurs at the facility must be reported to the department withing 24 hours through the Duty line and a written report must be submitted within 7 days.

The facility is being cited for Title 22 Regulation Section 101212 (d)(1)(C).

An exit interview was conducted, and a copy of this report was provided to Director Lianne Holgate.

A notice of site visit was also provided and must remain posted for 30 days.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2023
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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Document Has Been Signed on 03/08/2023 12:08 PM - It Cannot Be Edited


Created By: Sumayya Habeebulla On 03/08/2023 at 11:31 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: LEAPS AND BOUNDS
FACILITY NUMBER: 374844882

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/10/2023
Section Cited
CCR
101212(d)(1)(C)

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Upon the occurrence.. of any of the events specified in (d)(1) below, a report shall be made to the Department...within...next working day. Events reported shall include...Any unusual incident ..that threatens the physical or emotional health or safety of any child.
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Director stated they will put a plan in place regarding reporting unusual incidents to CCL and provide to LPA by the POC due date.
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This requirement was not met as evidenced by:
Based on interviews the incident of a Preschool child walking out of the facility unnoticed by caretakers was not reported to the Department, which poses a potential, heath, safety or personal rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Carlos Martinez
LICENSING EVALUATOR NAME:Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2023


LIC809 (FAS) - (06/04)
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