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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700325
Report Date: 06/29/2021
Date Signed: 06/29/2021 10:02:39 AM



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
06/24/2021 and conducted by Evaluator Nancy Diaz
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20210624112324
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:290CENSUS: 45DATE:
06/29/2021
UNANNOUNCEDTIME BEGAN:
07:40 AM
MET WITH:Melinda LopezTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Supervision
INVESTIGATION FINDINGS:
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On 6/29/21 @ 7:40AM, LPA Nancy Diaz conducted an unannounced inspection. Met with Site Director, Melinda Lopez. This inspection is in reference to an allegation that children are not properly supervised. A tour of the facility was conducted with Ms. Lopez. Observed present today were 45 children in 6 classrooms. LPA interviewed the director, assistant director and the teacher in Room #15. Ms. Lopez stated that children are combined in a classroom at the end of the day, not exceeding 12 children.

Based on LPA’s interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A Type B deficiency under California Code of Regulations, Title 22, Div. 12, Chpt. 1 is being cited on the attached LIC 9099D. Type B deficiency if not corrected poses a potential hazard to the health and safety of children in care. An exit interview was conducted, A copy of this report and Appeal Rights (1/16) were discussed and provided.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
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 51-CC-20210624112324
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
FACILITY NUMBER: 376700325
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/06/2021
Section Cited
CCR
101229(a)(1)
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RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION. No child(ren) shall be left without the supervision of a teacher at any time...
This regulation was not met as evidenced by LPA's interview of staff.
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Ms. Melinda stated that they have already implemented a procedure that the staff who is receiving the group of children will do the name-to-face account. Ms. Melinda will submit a statement of the new procedure and have staff sign stating that they understood the new procedure. This statement shall be submitted no later than 7/6/2021.
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Staff (in room #15) was interviewed, indicated that she was not aware that the child was in her care when a parent arrived for pick-up. Staff failed to recognize that the child was in her group as the child was playing along side the magnet board.
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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: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2