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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374845326
Report Date: 04/29/2024
Date Signed: 04/29/2024 11:13:52 AM

Document Has Been Signed on 04/29/2024 11:13 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:QCS CHILDREN'S CORNERFACILITY NUMBER:
374845326
ADMINISTRATOR/
DIRECTOR:
YADIRA LOPEZFACILITY TYPE:
850
ADDRESS:610 N. REDONDO DRIVE SUITE GTELEPHONE:
(760) 754-1577
CITY:OCEANSIDESTATE: CAZIP CODE:
92057
CAPACITY: 85TOTAL ENROLLED CHILDREN: 85CENSUS: 50DATE:
04/29/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:51 AM
MET WITH:Yadira LopezTIME VISIT/
INSPECTION COMPLETED:
11:27 AM
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On the date and time listed above, Licensing Program Analyst (LPA) Kelly Gerth and Licensing Program Manager (LPM) Pauline Beschorner arrived at the facility for the purpose of conducting a case management visit. The Department received an unusual incident report (UIR) dated 04/11/24 from the facility stating a child was injured atop the head, while playing in the outdoor playground.

On 04/10/24, while playing outside, Child 1 (C1), was running on playground and hit head on small rounded beam on the underside of the play structure. LPA observed the beam and there were no sharp edges present. C1 injured the top of the head, at the hairline, and began bleeding. Staff 1 (S1) brought C1 to entrance door to the outdoor play area, while S2 supervised remaining children. S1 requested assistance from Staff 3 (S3).

S3 assisted with contacting parents and paramedics. While waiting for paramedics, S3 assisted S1 with continued first aid to C1.

During this time, parent of C1 arrived to the Child Care Center (CCC) to accompany C1, via ambulance to the hospital. Parent of C1 later called the CCC and reported C1 received 3 staples to the injury and was cleared to leave the hospital. C1 remained at home to recover and it was reported that C1 returned to CCC on 04/22/24.

Facility followed appropriate staff/child ratios and provided appropriate supervision to the children in care. No citations will be issued.

An exit interview was conducted with the Site Director Yadira Lopez, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE: DATE: 04/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2024
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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