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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700119
Report Date: 04/17/2024
Date Signed: 04/17/2024 12:45:33 PM

Document Has Been Signed on 04/17/2024 12:45 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:EL CAMINO PRESCHOOLFACILITY NUMBER:
376700119
ADMINISTRATOR/
DIRECTOR:		ARTERY, KRISTINFACILITY TYPE:
850
ADDRESS:2002 CALIFORNIA STREETTELEPHONE:
(760) 722-5050
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY: 69TOTAL ENROLLED CHILDREN: 91CENSUS: 67DATE:
04/17/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Kristin ArteryTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Keely Messerschmidt arrived at the facility on a case management inspection to follow-up on an Unusual Incident Report (UIR) which occurred on March 27, 2024 per Director. LPA met with Director Kristin Artery, and provided purpose of inspection. At the time of inspection, LPA toured the facility, took census, interviewed and reviewed documents previously submitted to the department with Director.

The reported incident took place on March 27, 2024, regarding a child falling and cutting chin which required stitches. Based on interview with Director, staff were standing in their zones on the playground when teacher observed child slip while stepping off wood stump to the next wood stump causing child to fall and hit their chin on a wood stump. Teacher noticed child had a gash on chin, teachers applied pressure and cleaned up area while Director contacted parent who arrived within minutes. Child was taken to urgent care where they received stitches and returned the next day with no issues.

Exit interview was conducted with Director. Notice of site visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2024
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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