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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700865
Report Date: 04/28/2023
Date Signed: 06/06/2023 01:18:19 PM

Document Has Been Signed on 06/06/2023 01:18 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:NEXT GENERATION EDUCATIONAL CENTER - INFANTFACILITY NUMBER:
376700865
ADMINISTRATOR:CARMEN POLIFRONEFACILITY TYPE:
830
ADDRESS:1471 GRANITE HILLS DRIVETELEPHONE:
(619) 441-8800
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: DATE:
04/28/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Carmen PolifroneTIME COMPLETED:
11:00 AM
NARRATIVE
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 On 4/28/23 at 10:30 AM , LPA Annette Sutherland made an unannounced Case- Management deficiency visit. LPA met with Director Carmen Polifrone . Due to facility that  not reporting  incident that occurred on 3/8/23. Facility must report incident within 24 hours of occurring. 

It has come to the departments attention that a  child fell and hit his forehead. . Incident was reported to department as a complaint. 

LPA explained unusual incident reporting (LIC 624)  to Carmen Polifrone and timeline.
See LIC809D for type B  deficiency cited.

The licensee was provided a copy of their appeal rights (LIC 9058) and their 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 Licensee post notice of site visit.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2023
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 06/06/2023 01:18 PM - It Cannot Be Edited


Created By: Annette Sutherland On 04/28/2023 at 10:21 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: NEXT GENERATION EDUCATIONAL CENTER - INFANT
FACILITY NUMBER: 376700865

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/28/2023
Section Cited
CCR
101212(d)

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 Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. This requirement is not met as evidenced by:

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Director has provided correction on today's visit. She will ensure that in the future incidents are reported on the duty line (619)767-2248 and submit an incident report by email to SDIncidentReports@dss.ca.gov or by Fax at (619 767-2203 within 24 hours of occurring.
Licensee will also provide written statement explaining that she will submit future reports per the required time frames.
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This requirement was not met as evidenced by the department did not receive an incident report within 24 hours.
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CCR


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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:Monica Cuddy
LICENSING EVALUATOR NAME:Annette Sutherland
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2023


LIC809 (FAS) - (06/04)
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