374845455-1-8-2020-10-CC-DPAR-BLK487-20200206175215

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374845455
Report Date: 12/20/2019
Date Signed: 01/08/2020 12:24:28 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
09/20/2019 and conducted by Evaluator Mariah McCarty

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20190920100804

FACILITY NAME:	NCCS WEST MISSION CDC		FACILITY NUMBER:	374845455
ADMINISTRATOR:	MOORE, ESTRELLITA		FACILITY TYPE:	850
ADDRESS:	715 W. MISSION AVE SUITE A		TELEPHONE:	(760) 471-5483
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92025
CAPACITY:	60	CENSUS: 39	DATE:	12/20/2019
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Linda Porter, Site Supervisor		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

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Lack of Supervision - Staff left child care child unattended for a long period of time.

INVESTIGATION FINDINGS:

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This is an amended report for the report issued on December 20, 2019. Licensing Program Analyst (LPA), Mariah McCarty met with Linda Porter, Site Supervisor to issue the complaint findings for the above listed allegation. LPA conducted a safety inspection of the facility on September 27, 2019 and reviewed staffs’ and children’s files. During the investigation, interviews were conducted with staff and other pertinent parties.

The complaint alleged that on September 12, 2019 during transition from outside to inside staff left a child outside unattended for a long period of time. The facility failed to meet the responsibility for providing care and supervision that was necessary to meet the needs for child. Staff did not notice child was missing from the classroom until a staff from another classroom observed the child outside alone when she was walking by the door that leads to the playground.

Based on the information gathered, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. See the next page for deficiency cited.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Mariah McCarty	TELEPHONE: (951) 255-4093
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020

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 10-CC-20190920100804

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: NCCS WEST MISSION CDC	FACILITY NUMBER: 374845455
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/20/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/23/2019 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision. The licensee shall provide care and supervision as necessary to meet the children's needs. No children shall be left without the supervision of a teacher at any time.	1 2 3 4 5 6 7	Director to retrain staff on the Responsibility for Providing Care and Supervision and a written statement of understanding/compliance is to be provided to the LPA by due date of 12/23/19.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: staff left a child outside on the playground unsupervised, while teachers and other children were in the classroom. This poses an immediate risk to the Health and Safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Mariah McCarty	TELEPHONE: (951) 255-4093
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 10-CC-20190920100804

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: NCCS WEST MISSION CDC	FACILITY NUMBER: 374845455
	VISIT DATE: 12/20/2019

NARRATIVE

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A Civil Penalty has been assessed during this inspection. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

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 ALONG WITH A COPY OF ALL TYPE A DEFICIENCIES (LIC809D/9099D) CITED DURING THIS INSPECTION. A COPY OF ALL TYPE A DEFICIENCIES CITED DURING THIS INSPECTION MUST ALSO BE IMMEDIATELY (within 24 hours of the child’s next day in care) GIVEN TO THE PARENTS OF ALL CHILDREN ENROLLED IN THE CHILD CARE FACILITY AND ANY CHILDREN ENROLLED INTO THE CHILD CARE FACILITY OVER THE NEXT 12 MONTHS.

An exit interview was conducted, and a copy of this report was provided to Linda Porter, Site Supervisor.

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Mariah McCarty	TELEPHONE: (951) 255-4093
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020

LIC9099 (FAS) - (06/04)

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