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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600490
Report Date: 03/14/2024
Date Signed: 03/14/2024 11:13:56 AM

Document Has Been Signed on 03/14/2024 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:EASTLAKE COMMUNITY CHURCH PRESCHOOLFACILITY NUMBER:
376600490
ADMINISTRATOR:DINORAH JUAREZFACILITY TYPE:
850
ADDRESS:2351 OTAY LAKES ROADTELEPHONE:
(619) 421-4156
CITY:CHULA VISTASTATE: CAZIP CODE:
91915
CAPACITY: 174TOTAL ENROLLED CHILDREN: 174CENSUS: 106DATE:
03/14/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Dinorah JuarezTIME COMPLETED:
11:30 AM
NARRATIVE
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On 3/14/2024, at 10:15 a.m., Licensing Program Analyst (LPA) Cindy Meier conducted an unannounced Case Management visit for the purpose of issuing a citation for an incident that occurred at the facility on 01/05/24.. LPA met with Director, Dinorah Juarez. LPA discussed the purpose of the visit and was led on a tour of the facility. There were one hundred six (106) children, and twenty five (25) staff present at the time of this inspection.

Based on interviews conducted and review of classroom #11 video footage, it was determined that on 01/05/24, while engaged in a 17 minute personal telephone conversation in the classroom, S1 forcefully pushed daycare child #1 (C1) on the shoulder and poked daycare child #2 (C2) on the chest with her index finger. According to the facility director, S1 was terminated on 01/09/24 as a result of the incident.

Per California Code of Regulations, (Title 22, division 12 & Chapter 1) one (1) Type A citation is being cited on the attached LIC 809-D.

LPA Cindy Meier informed Director, Dinorah Juarez, that this report dated 3/14/24 document(s) (1) Type A citation which shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Cindy Meier informed the Director, Dinorah Juarez to provide a copy of this licensing report dated 3/14/24 that documents Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: EASTLAKE COMMUNITY CHURCH PRESCHOOL
FACILITY NUMBER: 376600490
VISIT DATE: 03/14/2024
NARRATIVE
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An exit interview was conducted with Director Dinorah Juarez. A copy of this report along with the Appeals Rights (LIC 9058) was provided. A Notice of Site Visit is provided and required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Director post Notice of Site Visit to the door at the entrance.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/14/2024 11:13 AM - It Cannot Be Edited


Created By: Cindy Meier On 03/14/2024 at 09:25 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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: EASTLAKE COMMUNITY CHURCH PRESCHOOL
FACILITY NUMBER: 376600490

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/14/2024
Section Cited
ILS
101223(a)(3)

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101223(a)(3) Personal Rights
(a)The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment,......

This requirement was not met as evidenced by:
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Director and licensee will review personal rights of children, along with conducting a staff in-service training that addresses the topics of personal rights of children, and cell phone policies. Director will provide a written statement of these procedures, date, and agenda of training to LPA by 04/05/24.
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Based on interview conducted and review of video footage, the licensee did not comply with the section cited above, as C1 and C2’s personal rights were infringed upon during an inappropriate physical interaction with S1, which posed an immediate risk to Health, Safety, and Personal Rights of 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:Jason Garay
LICENSING EVALUATOR NAME:Cindy Meier
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2024


LIC809 (FAS) - (06/04)
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