Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600607
Report Date: 05/09/2018
Date Signed: 05/09/2018 12:51:52 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:HORIZON PREP PRESCHOOLFACILITY NUMBER:
376600607
ADMINISTRATOR:TOWNER, CATHYFACILITY TYPE:
850
ADDRESS:6365 EL APAJO ROADTELEPHONE:
(858) 756-5599
CITY:RANCHO SANTA FESTATE: CAZIP CODE:
92067
CAPACITY:180CENSUS: 107DATE:
05/09/2018
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:37 AM
MET WITH:Cathy TownerTIME COMPLETED:
10:47 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst, Rita Magana was on site in response to recent receipt of an unusual incident. The incident involved two preschool age boys. Both boys desired to play, during outside time, with the tonka trucks. The boys collided with one falling onto bark cushioning. The second child, slightly taller, fell onto the bark with his forehead extending onto the concrete side walk area. Two staff were interviewed today. The playground was reviewed (photos taken). The incident appeared to be an accident. No citations will be issued.

This is an electronic copy of a handwritten report. Please see facility file for original signatures. The following information regarding ADA was provided: US Department Of Justice (USDOJ) toll-free ADA Information (800) 514-0301 (voice) (800) 514-0383(TTY) and link to publication: Commonly Asked Questions about Child Care Facilities and the ADA, available at: http://www.ada.gov/childqanda.htm Community Care Licensing: WEB SITE: http://www.ccld.ca.gov The report shall remain available at the facility for public review for three years. LIC 9213 was visibly posted today, for 30 days. . The licensee was provided a copy of their appeal rights (LIC 9058, 12/15) and their signature on this form acknowledges receipt of these rights. Appeal must be received within 15 days.

SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Rita MaganaTELEPHONE: (616) 767-2213
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2018
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 1