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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105055
Report Date: 10/16/2024
Date Signed: 10/16/2024 04:00:56 PM

Document Has Been Signed on 10/16/2024 04:00 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:CAMDEN HEAD STARTFACILITY NUMBER:
376105055
ADMINISTRATOR/
DIRECTOR:
DEBORAH DURHAMFACILITY TYPE:
850
ADDRESS:551 FARRAGUT CIRCLETELEPHONE:
(619) 499-5982
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: DATE:
10/16/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:25 PM
MET WITH:Deborah DurhamTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 10/16/24 at 2:25pm, Licensing Program Analyst (LPA) Patrick Ma, visited the facility to conduct a case management site inspection. The purpose of this visit is to follow up on a self reported incident that occurred on 10/4/24 where a child was allegedly moved by a custodial staff (S1) where no injury incurred. Upon arrival, LPA met with Director, Deborah Durham and explained purpose of visit.

LPA reviewed video footage of alleged incident. Video shows staff S2 directly looking at S1. S1 walks into the room pass the children to retrieve equipment and leaves. S1 never touches the children or engage with them. During the visit, LPA made a confidential names list, reviewed related documents, and received a copy of the video.

No deficiencies were cited during this visit.

Exit interview conducted and report was reviewed with the facility representative Deborah Durham. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
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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