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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701261
Report Date: 08/24/2023
Date Signed: 08/24/2023 01:19:56 PM

Document Has Been Signed on 08/24/2023 01:19 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S PARADISE INC. - OCEANSIDEFACILITY NUMBER:
376701261
ADMINISTRATOR:LINA BORJAFACILITY TYPE:
840
ADDRESS:2017A MISSION AVENUETELEPHONE:
(760) 433-3800
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
08/24/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Angela Hunt, DirectorTIME COMPLETED:
01:04 PM
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On August 24, 2023, at 11:45 am, Licensing Program Analyst (LPA) Cindy Hamilton conducted a case management visit in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 07/21/2023.

Based on the information gathered from interviews, the following violations have been identified: a child’s personal rights were violated. LPA has an open complaint in relation to a similar violation. See complaint #: 10-CC-20230504081657, LIC 809-D dated August 24, 2023 for cited deficiencies of the California Code of Regulations, Title 22, Div. 12.

An exit interview was conducted and a copy of this report was provided to facility Director Angela Hunt.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2023
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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