376700512-10-13-2021-51-CC-NDIZ-C7RP3M-20211013105747

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700512
Report Date: 10/13/2021
Date Signed: 10/13/2021 02:03:46 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 - INFANT		FACILITY NUMBER:	376700512
ADMINISTRATOR:	MELINDA CARVALHO		FACILITY TYPE:	830
ADDRESS:	14521 TED WILLIAMS PARKWAY		TELEPHONE:	(858) 748-5600
CITY:	POWAY	STATE: CA	ZIP CODE:	92064
CAPACITY:	20	CENSUS: 14	DATE:	10/13/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	07:55 AM
MET WITH:	Jessica Herbers		TIME COMPLETED:	11:15 AM

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 10/13/21 @ 7:55AM, LPA Nancy Diaz conducted an unannounced inspection. LPA met with Jessica Herbers, Ass't Director. Observed present today were 14 infants with staff Susan Napolitano, Chi Luu, Vanessa Reza, Dyana Moshe, Kim To and Brittney McCray. A tour of the facility was conducted. There is one classroom designated for infant use. Program operates Monday-Friday; 7AM to 6PM. Melinda Carvalho, Site Director arrived at 10:31AM today. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. The licensee has not exceeded the conditions, limitations and capacity specified on the license. Children were observed to be visually supervised by a qualified teacher. At least one person is trained in CPR and Pediatric First aid was present today (Susan Napolitano). The child care center was observed to be clean, safe, sanitary and in good repair to ensure the well-being of children, employees and visitors. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Disinfectants, cleaning solutions, medications or poisons are inaccessible to children. All toilets, handwashing facilities are in safe and sanitary operating condition. All floors are clean and safe. A carbon monoxide detector is maintained in the facility. An isolation area has been designated for children who becomes ill during the day. Menus are posted and visible to child’s authorized representative. Kitchen and food preparation areas are kept clean. All food and beverage are stored appropriately. Uncontaminated drinking water are readily available both indoors and out. CONTINUED

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/13/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101429(a)(2)(B)

Responsibility for Providing Care and Supervision for Infants

(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in 5 of the 10 children's files which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/18/2021
	Plan of Correction
1 2 3 4	Ms. Herbers shall create a manual 15-minute check and train staff on how to use them. She will submit a sample copy of the 15-minute check to the department by 10/18/21.

Type B

Section Cited

CCR

101429(a)(2)(C)(3)

Responsibility for Providing Care and Supervision for Infants

(5) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: (c) Time of each 15-minute check This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in 5 of 10 children's files that were reviewed which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/18/2021
	Plan of Correction
1 2 3 4	Ms. Herbers shall submit a sample copy of the 15-minute check to show that each staff is initialing everytime a 15-minute check is conducted with staff observation.

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 Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

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: 10/13/2021

NARRATIVE

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The surface of the outdoor activity space are maintained in a safe condition, and free of hazards. Playground equipment are in safe condition, free of sharp, loose or pointed parts. The areas around or under high climbing equipment are cushioned with material that absorbs a fall.

Children’s files were review. The person who signs the child in/out use their full legal signature and recorded the time of day. An emergency information is maintained for all children in care.

Staff files were reviewed. Staff have current physician’s report on file. Staff qualification are maintained that included educational background, training and or experience. Staff have completed the mandated reporter training. Staff have been immunized against pertussis, influenza and measles.

Infant changing tables have a padded surface not less than one inch thick. Infant changing tables have raised sides at least three inches high. Toys are observed to be safe, and did not have sharp points or edges or splinters or made of small parts that can be pulled off and swallowed. Facility maintains sufficient napping equipment. The infant facility have indoor/outdoor activity space that is physically separate from space used by child care center/school age components. Direct visual supervision are provided by staff at all times. Facility maintains infant sleeping plans. Infant individual feeding and needs and services plans are maintained.

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

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: 10/13/2021

NARRATIVE

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Ms. Herbers was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days.

Appeal rights were discussed. A written report was provided today.
Exit interview conducted and report was reviewed with the licensee [or facility representative] (include name).

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

TYPE B DEFICIENCIES WERE CITED

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

LIC809 (FAS) - (06/04)

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