376701135-11-18-2021-20-CC-CGRY-C92NPR-20211123093846

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701135
Report Date: 11/18/2021
Date Signed: 11/18/2021 03:17:50 PM

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
08/05/2021 and conducted by Evaluator Michelle Hood

COMPLAINT CONTROL NUMBER: 20-CC-20210805101741

FACILITY NAME:	CORONADO BAPTIST INFANT CARE		FACILITY NUMBER:	376701135
ADMINISTRATOR:	PRYSOCK, MARTHA		FACILITY TYPE:	830
ADDRESS:	111 ORANGE AVENUE		TELEPHONE:	(619) 435-8121
CITY:	CORONADO	STATE: CA	ZIP CODE:	92118
CAPACITY:	24	CENSUS: 15	DATE:	11/18/2021
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Martha Prysock, Director & John Roamer, Pastor		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility is not following infection control practices.

INVESTIGATION FINDINGS:

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On 11/18/2021 at 2:00 p.m., Licensing Program Analyst (LPA), Michelle Hood and Licensing Program Manager (LPM), Cynthia Gray arrived to conduct an unannounced inspection to deliver complaint findings for the above-listed allegation. Upon arrival, LPA and LPM met with Director and toured the facility. There were seven infants napping with two staff present in classroom #1 and eight infants napping with two staff in classroom #2 at the time of inspection.

Based on observations and interviews on 10/21/2021 & 10/27/2021, the facility did not ensure the personal rights of persons in care to safe and healthful accommodations to provide adequate care and supervison, to provide health related services, and conduct a daily inspection for illness of a child as required, in that the facility did not increase monitoring children who exhibited symptoms of Covid-19 infection, as necessary to meet the needs of the client and to monitor for deterioration in condition or the need for professional medical attention.

The preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, are being cited on the attached LIC 9099D.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 20-CC-20210805101741

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: CORONADO BAPTIST INFANT CARE	FACILITY NUMBER: 376701135
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/18/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 11/19/2021 Section Cited CCR 101226(a)(1)	1 2 3 4 5 6 7	101226(a)(1) Health-Related Services. The licensee shall immediately notify the child's authorized representative if the child becomes ill...The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. In the case of an illness severe enough to require isolation of the child, the center shall follow the procedures specified in Section 101226.2. This requirement was not met as evidenced by...	1 2 3 4 5 6 7	The Pastor stated he will provide staff with a Covid-19 ouch report for staff to document any Covid-19 like symptoms. The Pastor stated the ouch report will have an area for parent contact details. This POC will be sent to LPA no later than 6:00 pm on 11/19/2021.
	8 9 10 11 12 13 14	Based on observations and interviews, staff stated three infants were in care displaying a runny nose. LPA and LPM observed one infant displaying a runny nose and one infant displaying a deep cough. This poses an immediate health, safety and personal rights risk to children in care.	8 9 10 11 12 13 14
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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: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021

LIC9099 (FAS) - (06/04)

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Control Number 20-CC-20210805101741

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: CORONADO BAPTIST INFANT CARE	FACILITY NUMBER: 376701135
	VISIT DATE: 11/18/2021

NARRATIVE

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AB633 requires upon receipt, the Pastor shall post (observed by LPA) and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. An Acknowledgment of Receipt of Licensing Reports, Form LIC 9224 must be signed and placed in each child’s file.

The Pastor was provided appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. Notice of Site Visit (LIC 9213) was provided to be posted at the facility for 30 days. LPA observed form LIC 9213 posted. An exit interview was conducted with Pastor John Roamer and Director Martha Prysock.

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021

LIC9099 (FAS) - (06/04)

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