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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700840
Report Date: 04/17/2023
Date Signed: 04/17/2023 11:12:54 AM

Document Has Been Signed on 04/17/2023 11:12 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:AKA HEAD START - DARNALLFACILITY NUMBER:
376700840
ADMINISTRATOR:CLARISE FERNANDEZFACILITY TYPE:
850
ADDRESS:6020 HUGHES STREETTELEPHONE:
(619) 955-8730
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY: 76TOTAL ENROLLED CHILDREN: 40CENSUS: 26DATE:
04/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Diana Padilla, Lead TeacherTIME COMPLETED:
11:25 AM
NARRATIVE
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On April 17, 2023 at 8:40 a.m. Licensing Program Analyst, Leilani Curtis, conducted an unannounced inspection to follow up on a self-reported incident that occurred on 03/23/2023, wherein a staff member (S1) pulled a child (C1) by the hand. Upon arrival LPA met with Lead Teacher Diana Padilla, advised her of the purpose of the visit, and proceeded to tour the facility. There were 26 children with 6 staff members present. Appropriate ratio/capacity was observed. Staff members have the required background clearances and are associated to the facility.

LPA interviewed the director (via telephone from the facility), staff #2 (S2), staff #3 (S3) and child #1 (C1). On 03/23/23 at approximately 2:50 p.m., S1 removed C1 from a chair at the classroom table. S1 took C1 by the hand and lead her to a couch in the quiet area of the classroom away from the other children. Based on video footage reviewed by LPA, S1 appeared to slightly pull C1. The staff member walked with C1 at a pace the child had difficulty keeping up with. C1 states that she “tried to stop but the teacher was too strong”. The video footage supports the events of the incident as described through staff interviews. The child was not injured. At the time of the incident there were three staff members supervising 14 children in the classroom. Appropriate capacity and ratio were in place. The parent/guardian of C1 notified the director of the incident on 3/24/23 and Community Care Licensing was notified timely. The director states that while the incident was investigated S1 was placed on administrative leave. Now that the investigation has been completed S1 has been suspended for five days with no pay and has been placed on a performance plan.

See LIC809D for cited deficiency.

An exit interview was conducted, and this report was reviewed with Diana Padilla. Appeal Rights (LIC 9058) were provided. Ms. Padilla’s signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed Ms. Padilla post notice of site visit.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2023
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 04/17/2023 11:12 AM - It Cannot Be Edited


Created By: Grace Curtis On 04/17/2023 at 10:44 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: AKA HEAD START - DARNALL
FACILITY NUMBER: 376700840

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/05/2023
Section Cited
CCR
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, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...This requirement was not met as evidenced by:
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The director states that S1 has been suspended for five days with no pay and placed on a performance plan.
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Based on interviews, record review and video footage, on 3/23/23 at approximately 2:50 p.m. a staff member (S1) slightly pulled a child (C1) by the hand at a pace C1 had difficulty keeping up with. The poses a potential health, safety or personal rights risk to children in care.
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Lead Teacher Diana Padilla states that she will have the director conduct a staff meeting on childen's personal rights and she will send LPA a copy of the meeting agenda and staff sign in she via email by 5/5/23.

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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:Tashima Daniel
LICENSING EVALUATOR NAME:Grace Curtis
LICENSING EVALUATOR SIGNATURE:
DATE: 04/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/17/2023


LIC809 (FAS) - (06/04)
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