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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701039
Report Date: 08/15/2024
Date Signed: 08/15/2024 11:17:47 AM

Document Has Been Signed on 08/15/2024 11:17 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:GOOD SHEPHERD CATHOLIC SCHOOLFACILITY NUMBER:
376701039
ADMINISTRATOR/
DIRECTOR:
LADONNA LAMBERTFACILITY TYPE:
850
ADDRESS:8180 GOLD COAST DRIVETELEPHONE:
(858) 693-1522
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
08/15/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Ladonna LambertTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
NARRATIVE
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On 8/15/2024 @ 8:40AM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced inspection in reference to a self-reported unusual incident. LPA met with Ladonna Lambert, School Principal/Preschool Director. Mrs. Lambert stated that the preschool program is not in session and will resume session on August 19, 2024.

On August 12, 2024, Mrs. Lambert submitted an unusual incident involving a staff that on 7/31/24 forcibly pulled a child up and swatted him on the bottom. On 8/1/24 same staff tapped a child on the head, she went across the room and slapped another child's hand that made him fall backwards. Same child was observed being picked up by the same staff and forcibly sat him on his cot. Child was observed crying after she slapped him on the hand. These incidents were all captured on videos. Copy of videos were provided to LPA today.

After reviewing additional videos (by Mrs. Lambert), same staff was observed swatting a child on the shoulder and another child was hit on the head and was sat down on the carpet roughly.

Staff was terminated immediately on 8/12/24.

LPA Nancy Diaz informed facility representative, Ladonna Lambert that this report dated 8/15/2024 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

(CONTINUED ON PAGE 2 & 3)
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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: GOOD SHEPHERD CATHOLIC SCHOOL
FACILITY NUMBER: 376701039
VISIT DATE: 08/15/2024
NARRATIVE
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Also, LPA Nancy Diaz informed the facility representative, Ladonna Lambert to provide a copy of this licensing report dated 8/15/2024 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview was conducted with Mrs. Lambert. LPA reviewed and provided Mrs. Lambert a copy of this report, appeal rights and Notice of Site Visit. The Notice of Site Visit and Copy of this report that is visible to parents of children in care for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/15/2024 11:17 AM - It Cannot Be Edited


Created By: Nancy Diaz On 08/15/2024 at 10:02 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: GOOD SHEPHERD CATHOLIC SCHOOL

FACILITY NUMBER: 376701039

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/15/2024
Section Cited
CCR
101223(a)(3)

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PERSONAL RIGHTS
To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation...

This requirement was not met as evidenced by:
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Mrs. Lambert stated that she will conduct an all staff meeting with her teachers today at noon to discuss children's personal rights. She will submit topics covered during the meeting and copy of staff sign in sheet.
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Based on statement from a witness and recorded videos, a staff was observed swatting a child on the buttocks, swatting a child on the hand, hitting a child on the shoulder, yanked a child by the hair and forcibly sitting a child on the carpet.
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Mrs. Lambert also stated that the staff involved was immediately terminated and is no longer working at this center.

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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:Joelle Redding
LICENSING EVALUATOR NAME:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 08/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2024


LIC809 (FAS) - (06/04)
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