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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701024
Report Date: 12/01/2021
Date Signed: 12/01/2021 11:52:42 AM

Substantiated


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
10/11/2021 and conducted by Evaluator Sumayya Habeebulla
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20211011153133
FACILITY NAME:INFUSION CHRISTIAN PRESCHOOLFACILITY NUMBER:
376701024
ADMINISTRATOR:THELMA AVILEZFACILITY TYPE:
850
ADDRESS:777 W FELICITA AVENUETELEPHONE:
(760) 746-5030
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:75CENSUS: 39DATE:
12/01/2021
UNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:THELMA AVILEZTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff did not provide adequate supervision.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Sumayya Habeebulla, Ana Noble, and Linda Almaraz arrived at the facility for the purpose of conducting a subsequent complaint visit, which includes concluding the investigation and delivering the investigation findings regarding the compliant investigation initiated on 10/19/21. LPAs met with Director Thelma Avilez and discussed the above allegation.

On 10/19/21 LPA Habeebulla conducted interviews with the Director and 5 staff members, all of whom are pertinent to this investigation. Along with interviews, the investigation revealed that:
There is an allegation that the staff did not provide adequate supervision. During today’s inspection LPAs observed 39 children in care and 7 staff. During investigation LPA was unable to collect pertinent information that would indicate that adequate supervision was provided.

See LIC9099-C for continuation of this report.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
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 3
Control Number 10-CC-20211011153133
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: INFUSION CHRISTIAN PRESCHOOL
FACILITY NUMBER: 376701024
VISIT DATE: 12/01/2021
NARRATIVE
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Based on the information obtained through interviews, it was determined that on 09/23/21 the after schoolteacher did not have visual supervision of the children in the playground. The said teacher was seeing off another child and was engaged with the child and parent, while the remaining students were unsupervised. During which period the subject child got pushed down the slide by an older child which resulted in his face being scratched. From the information received by interviews with staff, and ouch reports the above allegation of staff not providing adequate supervision has been Substantiated at this time.

An exit interview was conducted, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20211011153133
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: INFUSION CHRISTIAN PRESCHOOL
FACILITY NUMBER: 376701024
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/15/2021
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary...
(1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual ...
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The Director will review Title 22 section with staff and retrain on the Responsibility for Providing Care and Supervision. The Director will provide a written statement of understanding/compliance to the Department by the due date.
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This requirement was not met as evidenced by: Based on the interviews the after school teacher did not see the incident happen and was only aware of it when another child reported it to the teacher.
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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.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3