376700322-7-7-2020-20-CC-CSHN-AYK2QQ-20180507173616

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376700322
Report Date: 05/02/2018
Date Signed: 07/07/2020 01:55:51 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
01/23/2018 and conducted by Evaluator Joelle Redding

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20180123161539

FACILITY NAME:	DISCOVERY ISLE CHILD DEVELOPMENT CENTER-INFANT		FACILITY NUMBER:	376700322
ADMINISTRATOR:	VANESSA MILROY		FACILITY TYPE:	830
ADDRESS:	6130 PASEO DEL NORTE		TELEPHONE:	(760) 431-7090
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92011
CAPACITY:	42	CENSUS: 24	DATE:	05/02/2018
		UNANNOUNCED	TIME BEGAN:	04:15 PM
MET WITH:	Director Vanessa Milroy		TIME COMPLETED:	05:25 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

THIS IS A 2ND AMENDED COPY OF THE ORIGINAL REPORT

Personal Rights: Child sustained an unexplained injury to the genital area
Observation of a Child: Staff did not report the injury to parent

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst, Joelle Redding, made an unannounced visit to deliver the findings of a complaint investigation intiated on 1/26/18. The complaint was subsequently assigned to Investigator Annette Renquist of Community Care Licensing's Investigations Bureau. Investigator Renquist conducted interviews with potential witnesses, parents, staff and responding agencies and reviewed pertinent documentation to include reports from responding agencies and medical documentation. Based on the information obtained during the investigation, Investigator Renquist determined that the preponderance of evidence standard was met to substantiate the allegation that while in the care of the facility, Child #1 sustained an unexplained injury to the genital area that was considered "non-accidental" by a medical professional. The injury was not reported to the parent. A Type A and B deficiency will be cited on the accompanying LIC 9099D. Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt. Per Assembly Bill 633, the facility is to provide a copy of this Licensing Report to the parents of all children currently enrolled as well newly enrolled over the next 12 month period. Parents are to sign form LIC 9224, Acknowledgment of Receipt of Licensing Reports and the form is to be kept in each child's file. Licensing report is to be posted for 30 days. An Enhanced Civil Penalty of $5,000 will be issued on the accompanying form LIC 421E.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carl Shelton	TELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2018

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2018

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 2

Control Number 20-CC-20180123161539

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: DISCOVERY ISLE CHILD DEVELOPMENT CENTER-INFANT	FACILITY NUMBER: 376700322
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/02/2018

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type A 05/02/2018 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	2nd AMENDED REPORT: Personal Rights. Each child shall be free from corporal or unusual punishment, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature. This requirement is not met as evidenced by Community Care Licensing's Investigation Bureau's determination that Child #1	1 2 3 4 5 6 7	Director states that staff is doing visual health checks upon drop off and rechecking throughout the day, insuring that they make note on the daily records of anything unusual. Staff will alert Administration to any concerns for further assessment. Parents will be notified, by phone call or in writing
	8 9 10 11 12 13 14	sustained an injury that was determined by a medical professional to be non-accidental, to the genital area. This determination is based upon the Investigator's interviews with staff, parents, medical personnel who examined Child #1 and review of medical and law enforcement documentation. This is an immediate risk to children in care.	8 9 10 11 12 13 14	at the end of the day, depending upon the situation. Staff has been informally addressed on this issue. Formal training will take place on May 24th, addressing care and supervision, reporting requirements,and proper observation of a child. An agenda and roster will be sent to Licensing by 5/25.
Request Denied Type B 05/25/2018 Section Cited CCR 101226.3(b)	1 2 3 4 5 6 7	Observation of a Child...any injury or signs of illness requiring assessment ...by staff shall be reported to the child's authorized representative and recorded in the child's record. This requirement is not met as evidenced by interviews conducted of Staff #1 and #2. Both staff indicated that they	1 2 3 4 5 6 7	Director reinterates the plan of correction statement in the above Type A deficiency.
	8 9 10 11 12 13 14	noticed an unusual redness of the genital area on 1/17/18, during diaper changes. This was not reported to Administration for further evaluation, to the parent that day, nor was it noted in Child #1's record until after the fact. This is a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14

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: Carl Shelton	TELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2018

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2018

LIC9099 (FAS) - (06/04)

Page: 2 of 2