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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700320
Report Date: 03/01/2022
Date Signed: 04/25/2022 03:50:32 PM


Document Has Been Signed on 04/25/2022 03:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:DISCOVERY ISLE CHILD DEVELOPMENT CENTER - INFANTFACILITY NUMBER:
376700320
ADMINISTRATOR:SUMMER CHANTHABOUASYFACILITY TYPE:
830
ADDRESS:1655 S. RANCHO SANTA FE ROADTELEPHONE:
(760) 752-8691
CITY:SAN MARCOSSTATE: CAZIP CODE:
92078
CAPACITY:20CENSUS: 6DATE:
03/01/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Rocio Elizabeth SainezTIME COMPLETED:
02:15 PM
NARRATIVE
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On March 1, 2022 at 1:00 p.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced case management inspection. Upon arrival LPA met with Office Administrator Rocio Elizabeth Sainez and proceeded to tour the facility. Also present were 6 children with 3 staff members. Appropriate teacher and child ratios were observed. Staff member Allison Boehringer is fingerprint cleared but not associated to the facility.

Ms. Sainez states that Allison Boehringer is a substitute and worked at the facility yesterday, 2/28/22 and today, 3/1/22. She is employed through Child Care Careers. Director Christy Lang from Discovery Isle Child Development Center, facility #376700318 came to the facility during the inspection to assist Ms. Sainez. Director Lang states that she faxed a request for Allison Boehringer to be associated to the facility, to the Community Care Licensing Regional Office at the time of the inspection.

See LIC809D for cited deficiency. A civil penalty has been assessed.

An exit interview was conducted with Rocio Sainez and Appeal Rights (LIC 9058 1/16) were discussed. Ms. Sainez's signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed Ms. Sainez post notice of site visit.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 03/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/01/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/25/2022 03:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: DISCOVERY ISLE CHILD DEVELOPMENT CENTER - INFANT

FACILITY NUMBER: 376700320

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/02/2022
Section Cited

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101170(e)(2) Criminal Record Clearance: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 101170(f)...This requirement was not met as evidenced by:
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Based on LPA observation, record review and interview with Office Administrator Rocio Sainez, substitute Allison Boehringer (who is fingerprint cleared) worked at the facility on 2/28/22 and 3/1/22 without being associated to the facility. This poses a potential health and safety risk to children in care.
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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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 03/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/01/2022
LIC809 (FAS) - (06/04)
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