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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701439
Report Date: 01/24/2023
Date Signed: 01/24/2023 12:03:07 PM

Document Has Been Signed on 01/24/2023 12:03 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:CHILDREN'S CHOICE LEARNING CONNECTIONFACILITY NUMBER:
376701439
ADMINISTRATOR:VICTORIA DEDEAUXFACILITY TYPE:
830
ADDRESS:350 PRESCOTT AVENUETELEPHONE:
(619) 499-7524
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 14DATE:
01/24/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Bertha TapiaTIME COMPLETED:
12:02 PM
NARRATIVE
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On 1/24/23 at 11:40 Am LPA Annette Sutherland toured infant facility. LPA met with Assistant Director Bertha Tapia. During a complaint investigation LPA discovered that incident report provided to parent was fabricated to appease the parent rather then to accurately report an incident .

Type B deficiency cited on LIC 809 D

A notice of site visit was given and must remain posted for 30 days. Licensee Appeal Rights along with a copy of this report was provided to Assistant Director. Exit interview conducted and report was reviewed with the Assistant Director Bertha Tapia.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2023
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 2
Document Has Been Signed on 01/24/2023 12:03 PM - It Cannot Be Edited


Created By: Annette Sutherland On 01/24/2023 at 11:35 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: CHILDREN'S CHOICE LEARNING CONNECTION
FACILITY NUMBER: 376701439

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/30/2023
Section Cited
CCR
101163(a0

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101163 False Claims (a) No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the child care center or any of the services provided by the center.
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To provide a written statement that they will only provide accurate injury reports to parents.
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Based upon facility documents, facility created an ouch report with false information, which poses a potential health, safety and personal rights risk to children in care.
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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: 01/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2023


LIC809 (FAS) - (06/04)
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