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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700322
Report Date: 09/20/2022
Date Signed: 09/20/2022 02:42:35 PM


Document Has Been Signed on 09/20/2022 02:42 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:
376700322
ADMINISTRATOR:VANESSA MILROYFACILITY TYPE:
830
ADDRESS:6130 PASEO DEL NORTETELEPHONE:
(760) 431-7090
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:42CENSUS: 22DATE:
09/20/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Director Vanessa MilroyTIME COMPLETED:
02:20 PM
NARRATIVE
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On 9/20/22 at 8:55am, LPA Joelle Redding made an unannounced Case Management inspection due to reported Lead Exceedance levels in the facility's water. LPA met with Director, Vanessa Milroy.

Drinking fountain reported with 5.5 ppb or greater lead exceedance levels as follows:

Classroom 2 - Drinking fountain - 7.5 ppb

LPA observed the water fountain today. The fountain has been taped off. Director states that this is the drinking fountain in the older infant room and it has been shut off since the pandemic started. Prior to, it was rarely used for any children to drink out of, as a carafe of water would be filled from the staff break room and provided for the classrooms. Repairs have been started and the retest will be in three weeks. See LIC809D for Type A deficiency.

LPA informed the Director to provide a copy of this licensing report dated 9/20/22 that documents the Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Form was provided during the visit. LPA informed Director that this report, dated 9/20/22 and documenting one Type A citation, shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Exit interview conducted and report was reviewed with Director. NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2022
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 09/20/2022 02:42 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: 376700322

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/21/2022
Section Cited

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Written Directives: A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.

This requirement is not met as evidenced by:
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Based on water testing results and interviews, facility tested over the Action Level Exceedance level at on water fountain in Room 2. This poses an immediate/potential health, safety or personal rights 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: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2022
LIC809 (FAS) - (06/04)
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