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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372006509
Report Date: 09/13/2021
Date Signed: 09/13/2021 10:43:47 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
07/19/2021 and conducted by Evaluator Joelle Redding
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20210719093153
FACILITY NAME:BETHLEHEM COMMUNITY EARLY CHILDHOOD CENTERFACILITY NUMBER:
372006509
ADMINISTRATOR:CARR/WINTERBOURNEFACILITY TYPE:
850
ADDRESS:925 BALOUR DRIVETELEPHONE:
(760) 753-4780
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:110CENSUS: DATE:
09/13/2021
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Director Debi CarrTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Mask mandated is not being enforced
INVESTIGATION FINDINGS:
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On 8/16/2021 @ 10:30 a.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit to deliver findings on the above-referenced allegation.

Based on information obtained during facility observation and interviews with the Director, Debi Carr, it was determined that for some time prior to the investigation, the school was not enforcing the mask mandate for children who's parents did not send them to school with masks and they were not encouraging those children to wear masks. This complaint allegation is determined to be Substantiated as the preponderance of evidence standard has been met. A Type B deficiency under California Code of Regulations, Title 22, Division 12 & Chapter 1, is being cited on the attached LIC 9099D, indicating a potential hazard to children in care.

Appeal Rights were discussed and provided. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted and will remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021
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-20210719093153
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: BETHLEHEM COMMUNITY EARLY CHILDHOOD CENTER
FACILITY NUMBER: 372006509
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/13/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2021
Section Cited
CCR
101223(a)(2)
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Personal Rights. The licensee shall ensure that each child is accorded the following personal rights...To be accorded safe, healthful ...accommodations...to meet his/her needs.

This requirement was not met as evidenced by:
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Director states that shortly prior to the initiation of this investigation, she became aware of the mandate for masks to be worn indoors for all chidlren over the age of two and staff, regardless of vaccination status. She immediately informed the parents and has since been able to ensure that the majority of the children in care wear maks while indoors
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Based on observation and interviews, it is determined for some time prior to the initiation of this investigation, the facility was not enforcing the use of mask indoors for children in care. As all other Covid precautions continued to be in place, this is a potential rather than immediate hazard to children in care.
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and those that are resistant are encouraged by staff to wear their masks. Director states and has shown LPA that disposables are available for parents and children if needed. Director will send a reminder email about dropping children off with their masks and will cc Licensing to complete the plan of correction by 8/30/21.
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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: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021
LIC9099 (FAS) - (06/04)
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