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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700512
Report Date: 03/10/2023
Date Signed: 03/10/2023 03:22:00 PM

Substantiated


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
02/09/2023 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20230209141144
FACILITY NAME:DISCOVERY ISLE CHILD DEVELOPMENT CENTER - INFANTFACILITY NUMBER:
376700512
ADMINISTRATOR:MELINDA CARVALHOFACILITY TYPE:
830
ADDRESS:14521 TED WILLIAMS PARKWAYTELEPHONE:
(858) 748-5600
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:20CENSUS: 16DATE:
03/10/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Melinda CarvalhoTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Unqualified staff is providing care and supervision to infants
INVESTIGATION FINDINGS:
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On 3/10/23 at 9:30 AM Licensing Program Analyst (LPA) Adrian Mangina made an unannounced complaint visit for the complaint received on 2/9/23 for the purpose of continuing the investigation of the above reference allegation. There were six infants found inside and eight children outside on the playground.

During this visit LPA briefly toured facility, continued staff file review, and interviewed staff. During the tour at approximately 9:30 AM, LPA observed that there were 8 infants outside being supervised by an unqualified teacher with no infant units and an aid with who has no childcare units.

see LIC9099 for deficiency cited.

Exit interview conducted and report was reviewed with the facility representative Melinda Carvahlo. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2023
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-20230209141144
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 - INFANT
FACILITY NUMBER: 376700512
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/10/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/17/2023
Section Cited
CCR
101416.3(b)
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INFANT CARE AID QUALIFICATIONS:An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1).
This requirements was not met as evidenced by:
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Licensee states will provide LPA with a staff schedule that ensures that there is always a fully qualified teacher supervising an aid when infants are awake and that there will be one fully qualified teacher and one aid for each 8 infants and will provide to LPA no later than close of business 3/17/23.
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Based on observation the licensee did not comply with the section cited above as eight infants were supervised by an unqualified teacher and an aid which poses a potential health, safety or personal rights risk to persons 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: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2