376627668-9-8-2021-51-CC-TDAL-C74L8Z-20210922083243

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376627668
Report Date: 09/08/2021
Date Signed: 09/08/2021 08:30:50 PM

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
06/23/2021 and conducted by Evaluator Jennifer Lott

COMPLAINT CONTROL NUMBER: 51-CC-20210623114109

FACILITY NAME:	MENDS-COLE, JESSICA & BROWN, CANDACE FCC		FACILITY NUMBER:	376627668
ADMINISTRATOR:	JESSICA MENDS-COLE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 494-9889
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92123
CAPACITY:	14	CENSUS: 5	DATE:	09/08/2021
		UNANNOUNCED	TIME BEGAN:	12:29 PM
MET WITH:	Licensee, Candace Brown		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Licensee is revealing incorrect license number on documents

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Jennifer Lott and Leandra Diolliole conducted a complaint investigation visit to deliver findings for the above allegation. LPAs were greeted at the front door by Licensee, Candace Brown, and was granted entry after identifying themselves and disclosing the purpose of their visit.

The Department’s investigation consisted of review of review of facility and outside source records, interviews with parents, staff and outside sources.

It is alleged that the licensee is revealing the incorrect license number on documents. Outside source records revealed that on their contract signed 06/07/2021, licensee used license #376625014. Licensee’s facility license number is #376627668.

Substantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer Lott	TELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

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 6

Control Number 51-CC-20210623114109

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: MENDS-COLE, JESSICA & BROWN, CANDACE FCC	FACILITY NUMBER: 376627668
	VISIT DATE: 09/08/2021

NARRATIVE

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This agency has investigated the complaint alleging the Licensee is revealing the incorrect license number on documents. Based on LPA’s review of facility and outside source records, interviews with staff, and outside sources, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are cited per California Code of Regulations, Title 22, Division 6 on the attached 9099D.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer Lott	TELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

LIC9099 (FAS) - (06/04)

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Control Number 51-CC-20210623114109

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: MENDS-COLE, JESSICA & BROWN, CANDACE FCC	FACILITY NUMBER: 376627668
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/08/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/29/2021 Section Cited CCR 102359(a)	1 2 3 4 5 6 7	License Number & Advertisements - Licensee shall reveal each facility license number in all advertisements, publications or announcements made with the intent to attract clients. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee will submit a copy of their contract and advertisements with the new facility number via fax or email by POC date.
	8 9 10 11 12 13 14	Based on LPA's review of facility and outside source records, licensee did not use the correct license number on their contract with P1. This poses a potential heath & safey risk to 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: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer Lott	TELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 6

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
06/23/2021 and conducted by Evaluator Jennifer Lott

COMPLAINT CONTROL NUMBER: 51-CC-20210623114109

FACILITY NAME:	MENDS-COLE, JESSICA & BROWN, CANDACE FCC		FACILITY NUMBER:	376627668
ADMINISTRATOR:	JESSICA MENDS-COLE		FACILITY TYPE:	810
ADDRESS:	8650 DUBONNET STREET		TELEPHONE:	(619) 494-9889
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92123
CAPACITY:	14	CENSUS: 5	DATE:	09/08/2021
		UNANNOUNCED	TIME BEGAN:	12:29 PM
MET WITH:	Licensee, Candace Brown		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Licensee failed to notify parents of contagious outbreak

INVESTIGATION FINDINGS:

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It is also alleged that the licensee failed to notify parents of a contagious outbreak. On or about June 7, 2021, P1 enrolled their 2 children in L1’s daycare. Interviews revealed that on June 8, 2021 the facility was closed for a personal day for the licensee. Later that afternoon P1’s spouse was notified that several children had taken ill and their parents were taking them to the doctors. P1 was not advised if there was an outbreak or what the illness was.

On 06/11/2021, P1’s spouse was notified that C1 started vomiting and would need to be picked up. On 06/13/2021, C1 had a high fever and was taken to the emergency room. It was at that time that C1 received a medical diagnosis of a contagious disease (D1). Outside source records revealed that on 06/13/2021, P1 notified L1 of the medical diagnosis via text. According to outside source records, incubation period for D1 is 3-6

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer Lott	TELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

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

LIC9099 (FAS) - (06/04)

Page: 4 of 6

Control Number 51-CC-20210623114109

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: MENDS-COLE, JESSICA & BROWN, CANDACE FCC	FACILITY NUMBER: 376627668
	VISIT DATE: 09/08/2021

NARRATIVE

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days. A fever is often the first sign of D1 followed by a sore throat, sometimes a poor appetite and not feeling well. Outside source interviews revealed 5:7 children in care during that period had one or more symptom of D1. In addition, 5:7 outside source interviews revealed that they had been notified by L1 that a child at the facility had contracted D1. However, L1 did not notify Community Care Licensing about D1.

This agency has investigated the complaint alleging licensee failed to notify parents of a contagious outbreak. The Department has found that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer Lott	TELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

LIC9099 (FAS) - (06/04)

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