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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600965
Report Date: 12/17/2021
Date Signed: 12/17/2021 11:08:36 AM

Document Has Been Signed on 12/17/2021 11:08 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:CHILDREN'S CHOICEFACILITY NUMBER:
376600965
ADMINISTRATOR:FREDA SIMMONSFACILITY TYPE:
850
ADDRESS:1465 EAST MADISON AVENUETELEPHONE:
(619) 442-4014
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY: 82TOTAL ENROLLED CHILDREN: 82CENSUS: 60DATE:
12/17/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Freda SimmonsTIME COMPLETED:
11:15 AM
NARRATIVE
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During an inspection on 12/17/21 at 11:00 AM concerning another matter, Licensing Program Analyst (LPA),Adrian Mangina discovered that staff #1 did not have current mandated reporter certificate.

See 809-D for deficiency.

An exit interview was conducted with licensee. A copy of this report was discussed and provided. Signature on this form acknowledges receipt. The Notice of Site Visit was provided. Licensee is advised it must remain posted for 30 days.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2021
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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Document Has Been Signed on 12/17/2021 11:08 AM - It Cannot Be Edited


Created By: Adrian L Mangina On 12/17/2021 at 07:21 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: CHILDREN'S CHOICE
FACILITY NUMBER: 376600965

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/31/2021
Section Cited
HSC
1596.8662(b)(1)

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Availability of Information Regarding Detecting and Reporting Child Abuse… Section 1596.8662(b)(1): a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training…
This requirement was not met as evidenced by:
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Licensee states that staff #1 is no longer working for the facility. Director will provide LPA with current Mandated Reporter certificates for all current staff and will ensure that each staff renews every 2 years as required and all new staff will complete Mandated reporter Training before working with children.
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Based on Director Statement and file review Staff #1 did not complete Mandated Reporter Training as required which poses a potential health safety risk to persons 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:Renesha Pack
LICENSING EVALUATOR NAME:Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:
DATE: 12/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/17/2021


LIC809 (FAS) - (06/04)
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