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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105094
Report Date: 01/11/2023
Date Signed: 01/11/2023 10:14:47 AM

Document Has Been Signed on 01/11/2023 10:14 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:OPEN MINDS ST. KATHARINE IMMERSIONFACILITY NUMBER:
376105094
ADMINISTRATOR:CHRISTINE D'AMICOFACILITY TYPE:
850
ADDRESS:4551 56TH STREETTELEPHONE:
(619) 837-2127
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 10DATE:
01/11/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Christine D'AmicoTIME COMPLETED:
10:30 AM
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On 01/11/23 at 8:50am, Licensing Program Analyst (LPA) Samantha Clenista conducted an unannounced case management site inspection to follow up on two self-reported incidents that occurred on 10/29/22 and 11/29/22. LPA met with Director, Christine D'Amico, and proceeded to tour the facility. There were a total of 10 children with a total of 3 staff members. Children in care were observed playing indoors. Appropriate ratio, capacity and supervision was observed during inspection. On 10/29/22, facility reported that Child #1 sustained a nursemaid elbow by another child pulling on his arm trying to get up the slide while Child #1 was trying to go down the slide. On 11/29/22, facility reported that Child #2 sustained a fractured arm from trying to climb up the ladder attached to playground structure, however fell off and onto his arm.

During inspection LPA assessed where both the incidents occurred and how it occurred by interviewing the staff who directly witnessed both incidents and the children who sustained the injuries. LPA observed the area to be safe, age appropriate and free of hazards. The incidents occurred on the playground play structure, which is age appropriate for 2-5 years old. LPA also observed sufficient cushioning (rubber wood chips) under all areas where a child can sustain a fall. Ms. D'Amico provided LPA with related documentation such as medical reports and incident reports prior to the inspection which LPA reviewed. Based on information gathered and LPA's observation of the area where the incidents occurred, LPA confirmed that no violations have been identified and that both injuries that Child #1 and Child #2 sustained were an accident. Ms. D'Amico explained that the facility has increased their playground "safety talks" to the children regarding playground procedures and added that if anyone does not listen to the safety procedures (i.e. no climbing up the slide), all the children will have to go back inside. Ms. D'Amico stated that ever since implementing this increase reminder, there have been no additional accidents and the children have done better at listening.

LPA reviewed this report with Ms. D'Amico at conclusion of visit. LPA provided a copy of LIC 9213, “Notice of Site Visit,” and observed Ms. D'Amico post the notice during visit. Notice must remain posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Samantha Clenista
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2023
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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