372001274-1-20-2022-51-CC-TDAL-CBWMTR-20220223085358

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 372001274
Report Date: 01/20/2022
Date Signed: 01/20/2022 11:18:57 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/13/2022 and conducted by Evaluator Nancy Diaz

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20220113083736

FACILITY NAME:	LIFEBRIDGE PRESCHOOL & DAYCARE CENTER		FACILITY NUMBER:	372001274
ADMINISTRATOR:	JULIE HENDRICKSON		FACILITY TYPE:	850
ADDRESS:	17645 WEST BERNARDO DRIVE		TELEPHONE:	(858) 485-5933
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92127
CAPACITY:	142	CENSUS: 111	DATE:	01/20/2022
		UNANNOUNCED	TIME BEGAN:	09:03 AM
MET WITH:	Nastassia Provencio (2nd in Command) and Julie Hendrickson		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Facility is not enforcing the use of masks.
Facility is not enforcing isolation guidelines.
Facility is not informing parents of current COVID-19 protocols.

INVESTIGATION FINDINGS:

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On 1/20/22 @ 9:03AM, LPAs Nancy Diaz and Selina Siao conducted an unannounced inspection in reference to the above allegations. LPAs Toured the classrooms with staff Nastassia Provencio. There were a total of 111 children observed present. None of the children observed present today wore masks. All of the staff in the classrooms were observed wearing masks.
Rooms #1, #2 & #3 were in chapel.
Room #1 with staff Rebecca Cummings and 12 children
Room #2 with staff Anastasia Atkins & Antonia Farace and 20 children
Room #3 with staff Haley Perez & Linda Tillotson and 19 children
Room #4 with staff Elizabeth Juarez-Reyes and 7 children outside; Sarah Salazar with 9 children inside
Room #5 with Erica Jones and 9 children inside; Ashley Ortiz with 9 children outside
Room #6 with staff Michelle Jaquez and Amber Sanders with 18 children having snack inside the classroom.
Chapel Room with staff Nicole Tran and 12 children.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 01/20/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 51-CC-20220113083736

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LIFEBRIDGE PRESCHOOL & DAYCARE CENTER	FACILITY NUMBER: 372001274
	VISIT DATE: 01/20/2022

NARRATIVE

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LPAs observed children inside the classrooms and chapel (over age 2 years) not wearing masks/face coverings in the classrooms. There were 81 children inside classrooms (#1-#6 and the Chapel room) not wearing masks. Director provided a copy of the current Childrens' Roster during the inspection.

Mrs. Hendrickson stated that 2 staff and a child tested positive for COVID-19. She stated that the facility closed January 12-14 because a lot of the teachers were ill. She required that staff have a negative test prior to returning on 1/18/22. On 1/15/22 a parent notified her that her child tested positive for COVID-19. Child's last day at the center was 1/11/22. Mrs. Hendrickson admitted that she failed to notify the parents regarding a child who tested positive. Staff and children who were exposed were not provided an opportunity to isolate or quarantine.

The Department fully investigated the allegations and obtained information from interviews with the reporting party, Director and staff member. Based upon this information, the preponderance of evidence standard has been met and the allegations is therefore SUBSTANTIATED. Pursuant to Title 22 of the CA Code of Regulations, the following Type A deficiency was cited (refer to LIC9099-D). Type A deficiency if not corrected poses an immediate risk to the health, safety or personal rights of children in care.

An exit interview was conducted with the Director. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) were provided to Director and signature on this form acknowledges receipt of these rights. LPA observed Notice of Site Visit being posted. Notice of Site Visit must remain posted for 30 days.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 01/20/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2022

LIC9099 (FAS) - (06/04)

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Control Number 51-CC-20220113083736

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LIFEBRIDGE PRESCHOOL & DAYCARE CENTER	FACILITY NUMBER: 372001274
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/20/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/21/2022 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by...	1 2 3 4 5 6 7	Director will send out a letter to all parents informing of the mask/face covering requirement indoors for children age 2 years and over and will provide extra masks if children do not have one.
	8 9 10 11 12 13 14	Based upon LPAs observations and staff interviews, children are not wearing face coverings (required by DPH guidance) while indoors which is an immediate health, safety and personal rights risk to children in care. Director also failed to report to the parents of children in care regarding a child who tested positive for COVID19. Director also failed to provide an opportunity for staff and children to isolate or quarantine after exposure to the the COVID19 positive child.	8 9 10 11 12 13 14	Director will send proof of letter sent out to parents & staff via e-mail to Nancy Diaz by 1/21/22. LPA Nancy Diaz will follow up with another unannounced visit to ensure compliance. E-mail: Nancy.diaz@dss.ca.gov
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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: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 01/20/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2022

LIC9099 (FAS) - (06/04)

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