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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372006515
Report Date: 09/01/2021
Date Signed: 09/01/2021 01:02:48 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/24/2021 and conducted by Evaluator Otsanya Cameron
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210824153231
FACILITY NAME:CHILDREN'S PARADISE INFANT CENTERFACILITY NUMBER:
372006515
ADMINISTRATOR:SHADIERA BETHEAFACILITY TYPE:
830
ADDRESS:990 VALE TERRACE DRIVETELEPHONE:
(760) 941-7578
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:32CENSUS: 1DATE:
09/01/2021
UNANNOUNCEDTIME BEGAN:
06:53 AM
MET WITH:Teacher ClarissaTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff are not following Covid-19 mandates
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Otsanya Cameron and Jeanette Sanchez arrived at this facility to conduct an investigation into the above allegation(s). LPAs toured the facility and confirmed census.

There is an allegation that Staff are not following Covid-19 mandates. The following was observed:

On 09/1/21 Between 7:10am and 7:30am LPAs observed the arrival procedure of at least 3 infant children and staff in which the COVID-19 health screening was not conducted per the CDPH guidance.

Based on LPA’s observations and interviews conducted, appropriate COVID-19 Screenings were not conducted per the CDPH guidance. The preponderance of evidence standard has been met, therefore the above allegation/s is found to be SUBSTANTIATED.

See LIC9099-C for continuance of this report.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 10-CC-20210824153231
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDREN'S PARADISE INFANT CENTER
FACILITY NUMBER: 372006515
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
09/06/2021
Section Cited
CCR
101223(a)(2)
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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
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Director will generate a letter to staff and parents (current and future enrolled) informing them of the facility's approach COVID screenings and the CDPH guidance.
A Staff meetinng will be held on 9/2 and Director submit agenda and proof to the department by POC due date
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On 09/1/21, Director Natalie did not completely ensure the personal rights of persons in care to safe and healthful accommodations and engaged in conduct inimical to the health, welfare, and safety of persons in care, int an appropriate COVID-19 symptom screening of staff reporting to work and children upon arrival
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 to prevent entry of possible infected persons, was not conducted prior to entry at the facility.
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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: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 10-CC-20210824153231
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDREN'S PARADISE INFANT CENTER
FACILITY NUMBER: 372006515
VISIT DATE: 09/01/2021
NARRATIVE
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A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS

Appeal rights were provide and discussed. This report must be available for review, upon request, for the next 3 years
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3