<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700323
Report Date: 11/03/2023
Date Signed: 11/03/2023 11:50:43 AM


Document Has Been Signed on 11/03/2023 11:50 AM - 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 CENTERFACILITY NUMBER:
376700323
ADMINISTRATOR:VANESSA MILROYFACILITY TYPE:
850
ADDRESS:6130 PASEO DEL NORTETELEPHONE:
(760) 431-7090
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:174CENSUS: 59DATE:
11/03/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Melissa AustenTIME COMPLETED:
12:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 11/3/23 at 10:30am, Licensing Program Analyst (LPA) Patrick Ma, visited the facility to conduct a case management site inspection. The purpose of this visit is to follow up on a self-reported incident that occurred on 10/12/23. Upon arrival, LPA met with Assistant Principal, Michelle Austen. Present at the facility were 59 daycare children and 8 staff in 6 rooms. Proper supervision and ratios were observed.

Facility reported on 10/12/23 Child C1 was discovered by staff S3 unsupervised by the playground doorway. LPA conducted interviews with staff, reviewed related documents, and made a confidential names list. Based on information gathered, child C1 was left on the playground and unsupervised for approximately 20 minutes until discovered by another staff after C1's class returned to their classroom. Staff supervising C1's class was found not following school's face-to-name policy/procedure and were subsequently terminated from employment.

See 809D for deficiency cited.

LPA Patrick Ma informed Assistant Principal Michelle Austen that this report dated 11/3/23 documents one Type A citation which shall be posted for 30 consecutive days as there was an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Ma informed the facility representative to provide a copy of this licensing report dated 11/3/23 that documents any Type A citation 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.

Exit interview conducted and report was reviewed with the facility representative Michelle Austen. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick MaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 11/03/2023 11:50 AM - 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
FACILITY NUMBER: 376700323

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/03/2023
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
Responsibility for Providing Care and Supervision: (1) No child(ren) shall be left without the supervision of a teacher at any time…Supervision shall include visual observation. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Assist. Principal stated, incident occurred due to the staff invovled not following school's face-to-name policy/procedure on Tadpole system. All staff received refresher training on face-to-name procedure 2 days prior to incident. Staff invovled were terminated from emplyment. Deficiency is cleared during visit.
8
9
10
11
12
13
14
Based on interviews and information gathered, child C1 was left unsupervised on the playground for approximately 20 minutes after the child’s class returned to their classroom. This is an immediate health, safety and personal rights 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: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick MaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2