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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701135
Report Date: 10/27/2021
Date Signed: 10/27/2021 06:09:28 PM

Document Has Been Signed on 10/27/2021 06:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 CAREFACILITY NUMBER:
376701135
ADMINISTRATOR:PRYSOCK, MARTHAFACILITY TYPE:
830
ADDRESS:111 ORANGE AVENUETELEPHONE:
(619) 435-8121
CITY:CORONADOSTATE: CAZIP CODE:
92118
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 23DATE:
10/27/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:10 PM
MET WITH:Martha Prysock, Director &
John Roamer, Pastor		TIME COMPLETED:
06:20 PM
NARRATIVE
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On 10/27/2021 at 12:53 p.m., Licensing Program Analyst (LPA), Michelle Hood and Licensing Program Manager (LPM), Cynthia Gray arrived to conduct an unannounced case management inspection. There were six infants awake and five napping infants with two staff in classroom #1. There were 12 napping infants with two staff in classroom #2 present at the time of inspection.

During a complaint inspection, LPA and LPM observed an infant awake with a bib on and two stuffed toys in a crib, while another infant was asleep in a swing. On 10/21/2021, LPA observed an infant asleep in a swing and reminded staff that infants must be removed immediately and placed in a crib or mat. LPA and LPM observed infants napping on cots with blankets and one portable crib draped with a blanket. Classroom #1 displayed the safe sleep documents on the classroom wall which was provided on 07/30/2021. There were sleep logs available; however, the sleep log was not updated every 15 minutes. LPA and LPM advised the director that all safe sleep regulations must be followed. The director was provided PIN 20-24 CCP and referred to the Safe Sleep in Child Care website (cdss.ca.gov/inforsources/child-care-licensing/public-information-and-resources/safe-sleep)

LPA and LPM observed two staff with five infants asleep and six infants awake.

See LIC 809D for deficiency.

Director 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 director.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE: DATE: 10/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/27/2021
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
Document Has Been Signed on 10/27/2021 06:09 PM - It Cannot Be Edited


Created By: Michelle Hood On 10/27/2021 at 04:37 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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: 10/27/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/24/2021
Section Cited
CCR
101439.1(f)(3)

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101439.1 (f)(3) Infant Care Center Sleeping Equipment. Cribs shall be free from all loose articles and objects, including blankets and pillows. There shall be no objects hanging above or attached to the side of the crib. This requirement was not met by evidence by...
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The director will address the safe sleep regulation during the staff meeting. The director will provide the meeting agenda with specific safe sleep training discussed with staff, no later than 11/24/2021.
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Based on LPA and LPM's observation. One infant awake with a bib on and two stuffed toys in a crib, while another infant had a blanket draped over the portable crib. The staff failed to ensure all loose items were removed from inside and outside of the cribs. This poses an potential Health & Safety risk to the children in care.
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Type B
11/24/2021
Section Cited
CCR101416.5 (b)

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101416.5 Staff-Infant Ratio. There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met by evidence by...LPA and LPM observed two staff with five infants asleep and six infants awake.
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The director will submit a letter stating how the infant classrooms will comply with infant ratio 1:4, including how the director will ensure there's available staff if the director or other staff is not available, no later than 11/24/2021.

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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
LICENSING EVALUATOR NAME:Michelle Hood
LICENSING EVALUATOR SIGNATURE:
DATE: 10/27/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/27/2021


LIC809 (FAS) - (06/04)
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