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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700512
Report Date: 11/07/2019
Date Signed: 11/07/2019 01:21:57 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 CENTER-INFANTFACILITY NUMBER:
376700512
ADMINISTRATOR:MELINDA CARVALHOFACILITY TYPE:
830
ADDRESS:14521 TED WILLIAMS PARKWAYTELEPHONE:
(760) 752-7590
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:20CENSUS: 12DATE:
11/07/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Melinda CarvalhoTIME COMPLETED:
11:50 AM
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LPA Nancy Diaz conducted an unannounced random site inspection today. LPA met and toured the facility with site director Melinda Carvalho. All required notices, forms and license were posted in an area visible to the parents or authorized person. Observed present today were 12 infants with staff Cindy Ramirez, Jasmin Diaz, Kayleen Sivilay, Jessica Samaniego, Christine Flores & Alejandra Palomar.

There were no bodies of water or weapons maintained on site. All children are under supervision, including visual observation, of a teacher at all times. There is a ratio of one teacher supervising no more than 4 infants in attendance. The facility is in compliance with the staff-infant ratios. Disinfectants, cleaning solutions, and other items that are dangerous to children are inaccessible via storage in locked cabinet. Medications are in a safe place inaccessible to children. Furniture and playground equipment are kept in good condition, free of sharp, loose or pointed parts. The facility has age-appropriate furniture and equipment including, but not limited to, cribs, cots, or mats; changing tables, and feeding chairs. A baby walker is not allowed on the premises of a child care center in accordance with H & S Code Section 1596.846. The facility has sufficient infant napping equipment that meets the requirements of Section 101439.1(a)-(f). The facility have indoor activity space for infants that is physically separate from space used by preschool and school-age children. The child care center is clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees and visitors. The toddler program is conducted in areas physically separate from those used by older or younger children. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Bottles, dishes and containers of food brought by the infant’s authorized representative are labeled with infant’s name and the current date. The infant changing table is within arm’s reach of a sink. All toilets and handwashing facilities are safe and working in sanitary conditions. Uncontaminated drinking water is available both indoors and out. Menus are posted at least one week in advance, where an authorized representative can view them. All infants are never left unattended, and under the direct visual supervision of a staff person at all times.

CONTINUED ON PAGE 2
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019
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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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: 376700512
VISIT DATE: 11/07/2019
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Outdoor activity space surface is maintained in a safe condition and free of hazards. All storage containers for solid waste have a tight-fitting covers that are kept on and in good repair. The areas under high climbing equipment, swings, slides have sufficient cushioning material to absorb falls.
Licensee operates the facility within the conditions, limitations and capacity specified on the license. Staff records contain appropriate documentation of education credits. At least one person trained in CPR and Pediatric First Aid is present. The person who signs the child in/out uses their full legal signature and records the time of day. Facility maintains a separate, complete, and current records for each child in care. Each child’s record contains a medical assessment; feeding plan and infant needs and services plan.
A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The following additional handouts were provided to the child care provider today:

- PIN 19-10-CCP – U.S. Consumer Product Safety Commission recall


- PIN 19-09-CCP – Head Lice Information for Child Care Providers
- Health & Human Services Agency Guidance on Head Lice Prevention and Control
- PIN 19-08-CCP – CA Department of Public Health New Pre-Kindergarten Immunization requirements
- PIN 19-06-CCP – U.S. Consumer Product Safety Commission recall
- PIN 19-02-CCP – Safe Sleep Awareness Campaign
LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative states it is understood that this notice must be posted for 30 days.

NO DEFICIENCY CITED TODAY.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019
LIC809 (FAS) - (06/04)
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