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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376616408
Report Date: 02/22/2022
Date Signed: 02/22/2022 10:44:22 AM

Document Has Been Signed on 02/22/2022 10:44 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:JOHNSON-SCHIRLLS, TAMIE & SCHIRLLS, AMBER FCCFACILITY NUMBER:
376616408
ADMINISTRATOR:TAMIE J. & AMBER S.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 444-1456
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 2DATE:
02/22/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Tami and Amber Schirlls TIME COMPLETED:
11:15 AM
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On 2/22/22 at 9:30AM, Licensing Program Analyst (LPA) Patrick Ma conducted an unannounced inspection for the purpose of following up on an incident that was reported to the Department on 2/11/22. At the time of inspection, there were 2 children with the Licensees, Tami Johnson-Schirlls and Amber Schirlls. Facility was within licensed capacity and ratio.

The incident occurred 2/10/22 when child #1 (C1) tripped in the backyard and was injured. The area where C1 was playing when the child fell was on the outside playground near the garden area. Parent was contacted after the incident. Parent picked up C1 and took child to Physician for medical attention. C1 returned the following day.

LPA inspected backyard during site inspection. Backyard has wood borders dividing different areas of play. Backyard was observed and found with age appropriate toys and equipment. Facility was within ratio and capacity at time of incident.

No deficiencies cited. Technical Assistance given.

Exit interview conducted and report was reviewed with the licensee,Tami Johnson-Schirlls. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2022
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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