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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700325
Report Date: 12/05/2019
Date Signed: 12/05/2019 06:08:30 PM

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:
376700325
ADMINISTRATOR:MELINDA LOPEZFACILITY TYPE:
850
ADDRESS:11740 CREEK ROADTELEPHONE:
(858) 536-1400
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:324CENSUS: 136DATE:
12/05/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Melinda LopezTIME COMPLETED:
12:29 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Yolanda Baez and Rajani Goudreau arrived at the facility to conduct an annual random inspection. LPAs met with Director, Melinda Lopez. The following ratios were observed:

Room 3: (Toddler Component serves children 18 to 36 months):
  • 10 children and 2 staff members
Room 4: (Preschool Class serves 2 to 5 years of age):
  • 0 children and 0 staff members
Room 5: (Preschool Class serves 2 to 5 years of age):
  • 21 children and 2 staff members
Room 6: (Preschool Class serves 2 to 5 years of age):
  • 15 children and 2 staff members
Room 7: (Preschool Class serves 2 to 5 years of age):
  • 0 children and 0 staff members
Room 8: (Preschool Class serves 2 to 5 years of age):
  • 0 children and 0 staff members
Room 9: (Preschool Class serves 2 to 5 years of age):
  • 22 children and 2 staff members
Room 10: (Preschool Class serves 2 to 5 years of age):
  • 12 children and 1 staff members
Room 11: (Preschool Class serves 2 to 5 years of age):
  • 24 children and 2 staff members
Room 12: (Preschool Class serves 2 to 5 years of age):
  • 20 children and 2 staff members
Room 13: (Preschool Class serves 2 to 5 years of age):
  • 0 children and 0 staff members ...CONTINUED ON 809C...
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2019
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 5
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: 376700325
VISIT DATE: 12/05/2019
NARRATIVE
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Room 14: (Preschool Class serves 2 to 5 years of age):
  • 12 children and 2 staff members
Room 15: (Preschool Class serves 2 to 5 years of age):
  • 13 children and 2 staff members
Appropriate ratios and capacity were observed.

Furniture and age appropriate equipment is in good condition indoors and outdoors. Children's toilets and hand washing facilities are sanitary. The classrooms are safe and clean. The center provides Breakfast, Lunch, and snacks and menus are posted. Drinking water is readily accessible inside of the classroom through the use of water bottles. Children have access to water outside of the classroom through water bottles. All disinfectants, cleaning solutions, and other hazardous items are inaccessible to children. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, and are in good repair. The outdoor play area is physically separate from all other play areas, is fenced with sufficient material for cushioning, has canopies used for shade, and consists of turf grass, regular grass, a planting area, play structures, and age appropriate play equipment. There are no bodies of water or weapons at this facility. The last emergency drill was conducted on 10/08/2019.

There is an operational smoke detector and carbon monoxide detector at the facility. First Aid/CPR was reviewed and is in compliance. Staff records of education, training, and/or experience were reviewed and are in compliance. Facility utilizes electronic sign in and sign out and it was not in compliance, see 809D for cited deficiency.

LPA reviewed the following with Director: IMS, SIDS, Car seat Law, and Shaken Baby Syndrome. This facility does provide Incidental Medical Services- IMS. Director submitted a written plan of operation to CCL during today's inspection. The following information regarding ADA was provided, US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and http://www.ada.gov/childqanda.htm. LPA and Applicant discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

...CONTINUED ON 809C...

SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: 376700325
VISIT DATE: 12/05/2019
NARRATIVE
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Immunization law (SB792) was discussed with Director and she understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. Facility is compliant with SB792.

LPAs discussed the Mandated Reporter training, AB1207. LPAs reminded Director that all staff members are to take the training and have the printed certificates present at the facility and available for review. Facility is not compliant with AB1207 because Five of the nine Preschool staff files that were reviewed did not have the correct mandated reporter training certificate to satisfy AB1207, see 809D for cited deficiency.

NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed the posting the Notice of Site Visit. Duty Line: (619) 767-2248, Monday through Friday from 8am to 5pm. To access our Regulation and Forms please use our WEBSITE: http://ccld.ca.gov

SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2019
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: 376700325
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/19/2019
Section Cited

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101217(a) Personnel Records. Personnel records shall be maintained on the licensee, administrator, and each employee, and shall contain specified information. (13) A signed statement regarding their criminal record history as required by Section 101170(d). Requirement not met as evidenced by staff file review. Four of the 9 Preschool staff files that
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were reviewed did not have a signed and dated second page to the criminal record statement (LIC 508) on file. This poses a potential risk to the health and safety of the clients in care.
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Type B
12/19/2019
Section Cited

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(b) (1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years
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following the date on which he or she completed the initial mandated reporter training. Requirement not met as evidenced by staff file review. Five of the 9 Preschool staff files that were reviewed had the incorrect certificate for AB1207. This poses a potential risk to the health and safety of the clients 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: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: 376700325
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/19/2019
Section Cited

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(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out. Requirement not met as evidenced by facility record review. There were 8 children who were not signed in during today's inspection. This poses a potential risk to the health and safety of the clients 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: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5