Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600238
Report Date: 11/02/2018
Date Signed: 11/02/2018 02:01:38 PM

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:LITTLE STEPS CHRISTIAN PRESCHOOLFACILITY NUMBER:
376600238
ADMINISTRATOR:HAGEN, ELISABETHFACILITY TYPE:
850
ADDRESS:6551 SOLEDAD MT. ROADTELEPHONE:
(858) 551-7780
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:60CENSUS: 40DATE:
11/02/2018
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Elisabeth Hagen, DirectorTIME COMPLETED:
02:00 PM
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Licensing Program Analyst, Marie Hernandez conducted the case management visit due to an incident that occurred on 10/23/2018. LPA met with the Facility Director. The facility reported to the Department that on Tuesday (10/23/2018) in the evening, after pick up,
child #1 told his parent that another child put something in his (child #1) ear. When the parent checked child #1's ear, the parent found a small green jewel like object in child #1's ear. The parent took child #1 to the doctor's where they removed the foreign object from child #1's ear. LPA conducted several interviews with the staff and the children. However, the incident requires further review due to insufficient information available at this time.

No deficiency cited today. An exit interview was conducted and a copy of the report, Notice of Site Visit was provided to the Director. LPA observed the Director post the Notice of Site Visit in a prominent place. The Director states it is understood that this notice must be posted for 30 days.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2224
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2018
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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