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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701487
Report Date: 08/22/2023
Date Signed: 08/22/2023 01:16:46 PM

Document Has Been Signed on 08/22/2023 01:16 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:HEARTBEAT MUSIC PERFORMING ARTS ACADEMY PRESCHOOLFACILITY NUMBER:
376701487
ADMINISTRATOR:TIFFANY BURROUGHSFACILITY TYPE:
850
ADDRESS:6785 IMPERIAL AVENUETELEPHONE:
(619) 942-0772
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 9DATE:
08/22/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Tiffany Burroughs, DirectorTIME COMPLETED:
01:15 PM
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On 08/22/2023 at 10:50 am, Licensing Program Analyst (LPA) Michelle Hood, made an unannounced inspection to follow up on a self reported incident that occurred on 08/01/2023, wherein a 2 year old child was grabbed by a teacher while in care. The director lead the LPA on a tour of the facility. There were nine children with three teachers present at the time of the inspection.

LPA reviewed children and teacher files. LPA interviewed the director, one teacher, and two children. There was no video surveillance to review. As of 08/02/2023, the teacher was terminated from the facility. There was one teacher and one teacher's aide with approximately 6 to 7 children on the day the incident occurred. Further follow up is needed. LPA will complete the follow up and make a determination whether there has been a regulatory violation.

An exit interview was conducted and the report was reviewed with the director Tiffany Burroughs. The licensing report will be e-mailed to the director and the director was advised that acknowledgment of receipt of the report and appeal rights (LIC 9058 12/15) are to be received within twenty-four hours. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. No deficiencies were cited during today's inspection.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2023
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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