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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105058
Report Date: 03/06/2025
Date Signed: 03/06/2025 02:05:00 PM

Document Has Been Signed on 03/06/2025 02:05 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:DOT TO DOTFACILITY NUMBER:
376105058
ADMINISTRATOR/
DIRECTOR:		ERICA CASTANEDAFACILITY TYPE:
850
ADDRESS:5550 CARMEL MOUNTAIN ROAD #113TELEPHONE:
(858) 207-7949
CITY:SAN DIEGOSTATE: CAZIP CODE:
92130
CAPACITY: 105TOTAL ENROLLED CHILDREN: 105CENSUS: DATE:
03/06/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:50 AM
MET WITH:Assistant Director Kayla MendozaTIME VISIT/
INSPECTION COMPLETED:
11:14 AM
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On 3/6/25 at 10:50 am Licensing Program Analyst (LPA), Annette Sutherland, conducted a case management visit for the purpose of following up on 2 self reported incidents that occurred on 2/5/25 & 2/20/25. LPA met with Assistant Director Kayla Mendoza and toured the facility. Director Erica Castaneda arrived shortly. A child (C1) was running down the playground ramp and took to steps and tripped. C1 landed on the grass while C1 bumped their head and a slight cut on their forehead due to hitting the edge of the plastic water bin. First aid was provided from staff. Facility has since removed the water bin and replaced it with a softer plastic waterbin. 2nd incident was when child (C2) was climbing the outdoor wooden structure in the exploration area. C2 tripped on their closing and fell backwards. C2 was able to catch their fall. Staff (S1) witnessed C1 take the fall and provided first aid care at facility.


LPA toured outdoor exploration area where the incident occurred. At the time of the incident the program was within staff to child ratio requirements. There is always a staff member supervising the outdoor wooden structure. The playground has sufficient padding and is age appropriate. Based on today’s visit, no deficiencies were observed at this time. An exit interview was conducted, and this report was reviewed with Director Erica Castaneda

A notice of site visit was provided and advised that it must remain posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
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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