376700245-9-14-2022-51-CC-MCUY-CJQVJS-20220929162914

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376700245
Report Date: 09/14/2022
Date Signed: 09/14/2022 04:42:33 PM

Substantiated

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
08/15/2022 and conducted by Evaluator Samantha Clenista

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20220815101234

FACILITY NAME:	CARLSBAD COUNTRY DAY SCHOOL		FACILITY NUMBER:	376700245
ADMINISTRATOR:	MELISSA REED-MURPHY		FACILITY TYPE:	850
ADDRESS:	5150 HEMINGWAY DRIVE		TELEPHONE:	(760) 804-0550
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92008
CAPACITY:	162	CENSUS: 73	DATE:	09/14/2022
		UNANNOUNCED	TIME BEGAN:	02:40 PM
MET WITH:	Bailey Choi		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff did not make prompt arrangements for medical treatment.

INVESTIGATION FINDINGS:

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On 09/14/22 at 2:40pm, Licensing Program Analyst (LPA), Samantha Clenista conducted an unannounced complaint inspection to deliver the findings for the above allegation. Upon arrival, LPA met with Assistant Director, Bailey Choi, and conducted a tour of the facility. LPA observed 73 children with 9 staff. Appropriate ratio, capacity and supervision were observed. During the course of the investigation, LPA conducted interviews with several staff and parents and obtained confidential information related to the above allegation. Based upon information gathered via interviews and documentation, it was confirmed that on 08/11/22, Child #1 sustained a mouth injury by hitting her teeth on the back of a chair, which led to her mouth bleeding and unwell throughout the day. The facility staff applied ice and TLC immediately after the injury, however, they could not assess the severity of the injury as Child #1 did not allow them to conduct a thorough inspection. Throughout the day the child continued to be in pain. Due to them not being able to properly assess the injury, the child’s parent/guardian should have been contacted to pick up the child. When the parent called later in the day to see how the child was doing, there was no re-evaluation of the injury nor mention that the child was still in pain.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Clenista	TELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022

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 5

Control Number 51-CC-20220815101234

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: CARLSBAD COUNTRY DAY SCHOOL	FACILITY NUMBER: 376700245
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/14/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type A 09/15/2022 Section Cited CCR 101226(b)	1 2 3 4 5 6 7	Health-Related Services. The licensee shall make prompt arrangements for obtaining medical treatment for any child if necessary. This was not met as evidenced by,	1 2 3 4 5 6 7	Ms. Choi stated that the facility will schedule a staff meeting to discuss and refresh internal procedures when a child sustains a injury, daily health checks, and reporting requirements. Ms. Choi stated she will provide the agenda to LPA via email by COB 09/15/22.
	8 9 10 11 12 13 14	Child #1 sustained a mouth injury where the facility staff did not make prompt arrangements to seek medical treatment. This poses an Immediate Health and Safety risk to the clients 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: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Clenista	TELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 51-CC-20220815101234

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: CARLSBAD COUNTRY DAY SCHOOL	FACILITY NUMBER: 376700245
	VISIT DATE: 09/14/2022

NARRATIVE

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The parent was not aware of the severity of the injury until they saw the child when they picked them up at the end of the day. Based upon information gathered, the preponderance of evidence standard has been met. There is enough supporting information to prove that the facility staff did not make prompt arrangements to seek medical treatment, therefore the above allegation is substantiated. An exit interview was conducted with Ms. Choi. Notice of Site Visit was provided and is to remain posted for 30 days. See 9099D for cited deficiency.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, 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. A copy of the Fact Sheet - AB 633 Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha Clenista	TELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 5