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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701149
Report Date: 07/16/2024
Date Signed: 07/17/2024 07:59:38 AM

Document Has Been Signed on 07/17/2024 07:59 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:WARREN-WALKER SCHOOL - OCEAN BEACHFACILITY NUMBER:
376701149
ADMINISTRATOR/
DIRECTOR:
GEOVANI HERNANDEZFACILITY TYPE:
850
ADDRESS:4605 POINT LOMA AVENUETELEPHONE:
(619) 223-3663
CITY:SAN DIEGOSTATE: CAZIP CODE:
92107
CAPACITY: 94TOTAL ENROLLED CHILDREN: 94CENSUS: DATE:
07/16/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Geovani HernandezTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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 July 16, 2024, at 9:40 a.m., Licensing Program Analyst (LPA) Cindy Meier conducted an unannounced Case Management visit for the purpose of follow-up on an Unusual Incident Report that was submitted to the San Diego Regional Office. LPA met with Facility Representative, Director, Geovani Hernandez and discussed the purpose of the inspection and was led on a tour of the facility. There were forty-eight (48) children present and seven (7) staff members at the time of the inspection.

On 06/6/2024 around 11:27 a.m. during playground recess, child (C1) fell and sustained an injury to the left leg/ankle. There were thirty-two (32) children and three (3) staff on the playground at the time of the incident. Staff (S1) witnessed the incident and provided an ice pack, brought C1 inside and called C1’s parent representative to come pick up C1. An Ouch Report was completed and given to C1’s parent representative.

Interviews were conducted with the Director and C1’s parent representative. LPA reviewed Unusual Incident Report, Ouch Report and physician’s report. Based on LPA’s observation and evidence obtained, it was determined that C1 sustained an injury to the left leg/ankle that required medical attention. It was determined there was no equipment nearby, involvement from other children and playground flooring was in good repair, therefore this incident was determined an accident.

No deficiencies were cited.



A Notice of Site Visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the Facility Representative, Director, Geovani Hernandez.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE: DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/16/2024
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