<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600490
Report Date: 03/05/2024
Date Signed: 03/05/2024 06:15:26 PM

Document Has Been Signed on 03/05/2024 06:15 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: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: DATE:
03/05/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Dinorah JuarezTIME COMPLETED:
03:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 3/05/2024, at 1:45 p.m., Licensing Program Analyst (LPA) Cindy Meier conducted an unannounced Case Management visit for the purpose of a follow-up on an Unusual Incident. LPA met with Director, Dinorah Juarez. LPA discussed the purpose of the visit and was led on a tour of the facility. There were eighty (80) children, and sixteen (16) staff present at the time of this inspection.

On 1/10/2024, the San Diego Regional Office received an Unusual Incident Report which stated on 1/5/2024 staff (S1) answered a personal phone call while supervising children and during the phone conversation forcefully tapped child (C1) on the shoulder and poked child (C2) on the chest with her index finger.
Director was informed of the incident on 1/8/2024 and viewed the classroom video footage of 1/5/2024.

During the visit, LPA conducted interview with Director, viewed seventeen (17) minutes of video footage of classroom 11 on 1/5/2024 and obtained relevant documents.

No citations are being cited during today’s visit.

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: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1