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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700840
Report Date: 02/18/2025
Date Signed: 02/18/2025 11:48:51 AM

Document Has Been Signed on 02/18/2025 11:48 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:AKA HEAD START - DARNALLFACILITY NUMBER:
376700840
ADMINISTRATOR/
DIRECTOR:		CLARISE FERNANDEZFACILITY TYPE:
850
ADDRESS:6020 HUGHES STREETTELEPHONE:
(619) 955-8730
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY: 76TOTAL ENROLLED CHILDREN: 76CENSUS: 58DATE:
02/18/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Clarise FernandezTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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On 2/18/25 at 10:15 a.m, LPAs Renita Rodriguez and Hector Canton made an unannounced visit to follow up on self reported incident, received on 1/16/25. LPAs met with Center Director, Clarise Fernandez, and explained purpose of the visit. LPAs conducted interviews and obtained evidence. LPAs observed appropriate ratios with 58 children and 11 staff

Facility self reported on 1/16/25 an incident regarding a child alone in a restroom, which occurred on 1/15/25. Staff S1 was providing supervision to children in restroom. Children started to exit restroom and S1 closed the restroom door not realizing one child (C1) had not exited the restroom. The restroom is located between 2 classrooms and has 2 doors for exit and entry. The door that was not closed but secured with a safety gate provided for Staff S2 to see the child alone in the restroom. The facility investigated the incident and the decision was for Staff S1 to be released of their duties from the facility.

See 809D for deficiency cited.

Exit interview conducted and report was reviewed with the Center Director Clarise Fernandez. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 02/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/18/2025
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 02/18/2025 11:48 AM - It Cannot Be Edited


Created By: Renita Rodriguez On 02/18/2025 at 11:25 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: 02/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/19/2025
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care & supervision as necessary to meet children's needs.(1)No child(ren) shall be left without supervision of a teacher at any time
This requirement is not met as evidenced by:
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Center Director states new procedure is in place to ensure all children are accounted for prior to closing the bathroom door. Staff meeting held February 4th regarding supervision of chidlren in care.
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Based on interviews the facility did not ensure the supervision of a child during restroom use. Door to the restroom was closed prior to ensuring all children had exited, which posed a potential Safety rights 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 Askew
LICENSING EVALUATOR NAME:Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/18/2025


LIC809 (FAS) - (06/04)
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