<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700918
Report Date: 05/03/2023
Date Signed: 05/03/2023 05:32:20 PM

Document Has Been Signed on 05/03/2023 05:32 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:GRACE KIDS CHRISTIAN PRESCHOOLFACILITY NUMBER:
376700918
ADMINISTRATOR:COLLEEN TERANFACILITY TYPE:
850
ADDRESS:2716 MADISON AVENUETELEPHONE:
(619) 269-8080
CITY:SAN DIEGOSTATE: CAZIP CODE:
92116
CAPACITY: 109TOTAL ENROLLED CHILDREN: 120CENSUS: 58DATE:
05/03/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Colleen TeranTIME COMPLETED:
03:40 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 5/3/23 at 2:35pm, Licensing Program analyst (LPA), Martha Malane conducted an unannounced case management inspection to follow up on two (2) self-reported unusual incidents reported to the Department. Upon arrival, LPA met with Director, Colleen Teran and disclosed the purpose of the inspection and was led on a tour of the facility. There were 58 children and seven (7) staff members present. Hours of operation are Monday through Friday 7:30am - 5:30pm.

The Department received two separate unusual incidents reports on March 2 and March 29, 2023, in which Child 1 (C1) and Child 2 (C2) incurred injuries on the ‘small’ playground. LPA inspected the playground and found the area to be free of hazards. LPA interviewed staff. Based on information obtained, the incidents appear to be accidents.

No deficiencies cited.

Exit interview conducted with Director, Colleen Teran. Notice of Site Visit was provided and shall be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1