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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701498
Report Date: 07/19/2023
Date Signed: 07/19/2023 03:57:59 PM

Document Has Been Signed on 07/19/2023 03:57 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 ACADEMY, INC - SCHOOL-AGEFACILITY NUMBER:
376701498
ADMINISTRATOR:JENNIFER GRAWVUNDERFACILITY TYPE:
840
ADDRESS:73 NORTH SECOND AVENUETELEPHONE:
(619) 249-4328
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 34TOTAL ENROLLED CHILDREN: 34CENSUS: 18DATE:
07/19/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Brenda CasillasTIME COMPLETED:
04:00 PM
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On July 19, 2023, at 9:00am Licensing Program Analyst (LPA), Adrian Castellon, conducted an unannounced Case Management Inspection due to an incident with child #1. On 07/5/2023, the Department received the incident report from the facility for child #1.

During today's case management inspection, LPA met with director Brenda Casillas and assistant director Roxanna Larios. Present during today's inspection were 18 children in care.

The facility self reported on 7/5/2023 that child #1 reported that a teacher choked him. LPA interviewed director and assistant director regarding the incident. LPA interviewed two staff members involved in the incident. LPA Castellon interviewed three children in care.

Child involved in incident was not present at the facility on this date. LPA may return to the facility and conduct interview at a later date.

Incident was reported in a timely manner. No deficiencies issued during today's visit. LPA conducted an exit interview with the licensee.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 07/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/19/2023
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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