<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700829
Report Date: 11/17/2020
Date Signed: 11/23/2020 09:31:57 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/27/2020 and conducted by Evaluator Otsanya Cameron
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20200227162849
FACILITY NAME:DISCOVERY ISLE CHLD DEVELOPMENT CENTER-INFANTFACILITY NUMBER:
376700829
ADMINISTRATOR:GRIGGS, ASHLEYFACILITY TYPE:
830
ADDRESS:3791 OCEANIC WAYTELEPHONE:
(760) 845-5765
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY:26CENSUS: 7DATE:
11/17/2020
UNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Assistant Director Amy RaymerTIME COMPLETED:
03:33 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9

Staff did not meet the child's diapering needs.

INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On the date and time listed, Licensing Program Analysts (LPAs) Otsanya Cameron and Jeanette Sanchez conducted a tele-inspection for the purpose of delivering findings of a complaint concerning the above allegations. LPA completed a virtual tour of the facility and verified the census. LPAs met with Assistant Director Amy Raymer to further discuss the complaint/allegations. An inspection was previously conducted on, 3/2/2020, in response to the complaint and at that time interviews were conducted, and files were reviewed.

The following was alleged: Staff did not meet the child's diapering needs.

During a preivous interview with the director, it was confirmed that the incident occurred on 2/4/2020. It was brought to the director's attention that an infant child was dropped off to the facility around 7:29am. The Daily report indicated a diaper was not changed until 10:05am, in which the diaper was "wet" and diaper cream was also applied. The diaper log did not indicate if the diaper was changed at time of arrival, which infers the last time the child was changed was in the parents care. Continued on LIC9099-C

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2020
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 8
Control Number 10-CC-20200227162849
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: DISCOVERY ISLE CHLD DEVELOPMENT CENTER-INFANT
FACILITY NUMBER: 376700829
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/17/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/17/2020
Section Cited
CCR
101428(b)(2)
1
2
3
4
5
6
7

101428 Infant Care Personal Services
b)The infant shall be kept clean and dry at all times.(2)Each infant's clothing and diapers shall be changed as often as necessary to ensure that the infant is clean and dry at all times.
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Assistant Director has showed that a new system has been implemented that ensures staff conduct an immediate check and change of diapers upon arrival and to continue to log throughout the day each change and check of the diapers.
8
9
10
11
12
13
14

Based on interview and record review,
the facility staff failed to change an infants diaper for over 2.5 hours therefore they did not follow the requirements defined in their policy. The director also confirmed the date and time of this incident.
This poses a potential risk to children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2020
LIC9099 (FAS) - (06/04)
Page: 7 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/27/2020 and conducted by Evaluator Otsanya Cameron
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20200227162849

FACILITY NAME:DISCOVERY ISLE CHLD DEVELOPMENT CENTER-INFANTFACILITY NUMBER:
376700829
ADMINISTRATOR:GRIGGS, ASHLEYFACILITY TYPE:
830
ADDRESS:3791 OCEANIC WAYTELEPHONE:
(760) 845-5765
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY:26CENSUS: 7DATE:
11/17/2020
UNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Ashley GriggsTIME COMPLETED:
03:33 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not follow the child's individual feeding plan.
Staff did not apply diaper cream in accordance with the product label.
Staff do not keep the childcare clean.
Facility staff do not allow children to nap without disturbance.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 On the date and time listed, Licensing Program Analysts (LPAs) Otsanya Cameron and Jeanette Sanchez conducted a tele-inspection for the purpose of delivering findings of a complaint concerning the above allegations. LPAs completed a virtual tour of the facility and took a census. LPAs met with Assistant Director Amy Raymer to further discuss the complaint/allegations.

It was alleged:1. Staff did not follow the child's individual feeding plan. 2.Staff did not apply diaper cream in accordance with the product label. 3.Staff do not keep the childcare clean. 4. Facility staff do not allow children to nap without disturbance.

With regards to the allegation that a child's individudal feeding plan was not followed, during LPA's review of records, it was discovered that the facility previously reported an incident of this nature back on 12/3/2019 and a citation was issued on 12/30/2019. Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 8
Control Number 10-CC-20200227162849
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: DISCOVERY ISLE CHLD DEVELOPMENT CENTER-INFANT
FACILITY NUMBER: 376700829
VISIT DATE: 11/17/2020
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
26
27
28
29
30
31
32
 According the RP, the daily report that was sent home on 1/14/2020 indicates the child was fed with Formula instead of the breastmilk that was provided. During an interview the Director stated that the child was actually given the appropriate food (breastmilk), and this may have simply been a documentation error. All other recorded documentation from 1/13/2020 through 2/4/2020 indicate "breastmilk" was offered. Although a similar event was recorded, It cannot be proven that this specific allegation occurred after that time.

Throughout the Tele-visit, LPA's observed an implementation of a color coding system used to assist staff with identifying the individual needs of the infant children. Each infant child has a label that includes their photo, feeding plan, and is color coded, which correlates to their clipboard that has their infant needs and services plan. It is also duplicated on a visible white board, at eye level for staff, which indicates feeding, diaper changing, and medication (if used). The refrigerator located in the classroom that stores the food also has color coded tape on the door to indicate formula/breastmilk and is in conjunction with bottles inside of the refrigerator.

During the tele-visit, LPA's observed children’s Medication stored in each child's cubby, labeled and inaccessible to children. During a previous Interview with Director and staff, It was confirmed that a teacher did apply a diaper cream, on child#1, however, there is not sufficient evidence to support if staff applied diaper cream in accordance with the product label.

During interviews with Director and staff it was stated that the infant classroom is cleaned and sanitized daily. They added that the tables and toys are sanitized throughout the day. The director has additionally ordered a Swiffer-sweeper to assist with daily cleaning of the floors in the infant classroom, to limit the risk of spreading communicable disease or virus. During the tele-visit, the assistant Director also mentioned that due to Covid, daily cleaning and sanitizing has increased, a log is now required, and staff are assigned various cleaning tasks.

Additionally, it was expressed that a child's nap-time was interrupted for feeding. All events are recorded on a tablet, through a program, called "tadpole" which indicates the start and stop times of naps, meal times, and diaper changes. However, during Interview with the director, it was stated that documentation error can occur if for instance a child wakes up and is fed, if the staff does not stop the time prior to feeding the child. Although documentation is important, the priority is to meet the immediate needs of the children in care, and using this electronic system there is room for staff error. Continued on LIC9099-C
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2020
LIC9099 (FAS) - (06/04)
Page: 5 of 8
Control Number 10-CC-20200227162849
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: DISCOVERY ISLE CHLD DEVELOPMENT CENTER-INFANT
FACILITY NUMBER: 376700829
VISIT DATE: 11/17/2020
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
26
27
28
29
30
31
32
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, these allegations are UNSUBSTANTIATED.

An exit interview was conducted with Assistant Director, Amy Raymur.
Due to the COVID-19 State of Emergency, this report was completed via Tele-Inspections Report Delivery Instructions
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2020
LIC9099 (FAS) - (06/04)
Page: 6 of 8
Control Number 10-CC-20200227162849
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: DISCOVERY ISLE CHLD DEVELOPMENT CENTER-INFANT
FACILITY NUMBER: 376700829
VISIT DATE: 11/17/2020
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
26
27
28
29
30
31
32
 The incident was confirmed by the director's review of the diaper logs/ daily and attendance reports. According to the center's Onboarding policy for Diapering, Diapers are to be checked every two hours or changed as soiled. Diapers are also to be check and changed if necessary when a child wakes from a nap. Director immediately addressed the incident with infant staff. The facility staff failed to change an infants diaper for over 2.5 hours therefore they did not follow the requirements defined in their policy.

There is information to suggest that a diaper rash was a result of staff failing to change diapers regularly, however there is not any evidence to support this claim.

Based on information obtained through this investigation, an incident was identified that supports the allegation that staff did not meet child' diapering needs as noted above. The Director has since agreed to an immediate plan of correction which has since been implemented that ensures staff conduct an immediate check and change of diapers upon arrival and to continue to log throughout the day each change and check of the diapers. Therefore, the allegation is SUBSTANTIATED. The preponderance of evidence standard has been met. California Code of Regulations, (Title 22, Division 12 & Chapter 1) and is being cited on the attached LIC 9099D

Exit interview conducted with Assistant Director Amy Raymer and Appeals rights issued and discussed.
Due to the COVID-19 State of Emergency, this report was completed via Tele-Inspections Report Delivery Instructions.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2020
LIC9099 (FAS) - (06/04)
Page: 8 of 8