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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701024
Report Date: 12/01/2021
Date Signed: 12/01/2021 11:33:35 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
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
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Director, Thelma AvilezTIME COMPLETED:
11:45 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
Licensing Program Analysts (LPA's) Linda Almaraz, Sumayya Habeebulla, and Ana Noble arrived at the facility to conduct an inspection, for a separate an unrelated issue and were greeted by Director Thelma Avilez. After touring the facility, taking a census, and verifying staff associations, LPAs found the facility to be out of compliance due to staff Leah Daclan not being associated to the facility.

During today's inspection, LPA's were informed by Director that associations are completed the same day the staff start working and Daclan’s first day was today 12/1/2021. Director informed LPA's that Daclan would be associated to the facility later today. LPA’s provided email address on how to submit the documentation for transfers of criminal record clearances to Community Care Licensing (CCL). LPA’s spoke with the Director, to discuss a plan of corrections to prevent this issue from reoccurring and to avoid future deficiencies similar to this issue.

The Licensee can submit transfer forms to associate new individuals or to disassociate at: Associations_Disassociations862@dss.ca.gov

The facility was cited: 101170(e)(2)Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f).



An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to the Director.
A copy of this report must be made available to the public, upon their request, for 3 years.

The Notice of Site Visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 805-5739
LICENSING EVALUATOR NAME: Linda M AlmarazTELEPHONE: (951) 970-4412
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.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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
12/02/2021
Section Cited

1
2
3
4
5
6
7
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:
(2) Request a transfer of a criminal record clearance as specified in Section 101170(f) This requirement was not being met as evidence by: Ms. Daclan was not listed
8
9
10
11
12
13
14
to the facility license. LPA's verified Criminal Record Clearance and confirmed the the staff was cleared and but not associated to the facility. This poses a potential risk to the Health and Safety of the children in care.
8
9
10
11
12
13
14

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: Carlos MartinezTELEPHONE: (951) 805-5739
LICENSING EVALUATOR NAME: Linda M AlmarazTELEPHONE: (951) 970-4412
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
LIC809 (FAS) - (06/04)
Page: 2 of 2