376105017-9-29-2021-51-CC-MCUY-C82L3L-20211022082406

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376105017
Report Date: 09/29/2021
Date Signed: 09/29/2021 04:37:14 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
09/20/2021 and conducted by Evaluator Keturah Lane

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20210920085958

FACILITY NAME:	FOOTHILLS CHRISTIAN INFANT PROGRAM		FACILITY NUMBER:	376105017
ADMINISTRATOR:	TIFFANY MCHUGH		FACILITY TYPE:	830
ADDRESS:	315 WEST BRADLEY AVENUE		TELEPHONE:	(619) 442-7728
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	14	CENSUS: 11	DATE:	09/29/2021
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	TIffany McHugh		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Masks are not being worn by staff and children

INVESTIGATION FINDINGS:

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On 9/29/21 at 9:15 AM, Licensing Program Analysts (LPAs) Keturah Lane and Tyra Block conducted an unannounced complaint inspection in reference to the above allegation at the facility. LPAs met with Director Tiffany McHugh and toured the facility. Census was 6 children in the toddler room (B2 – Koala) with staff members Kristah McDaris and Marta Menak and 5 children in the infant room (B1 – Giraffe) with staff members Linda Kitchen and Rachel Shook. Total census today is 11 children. Facility also has a preschool license #376701150.

During tour, LPAs observed appropriate capacity and ratios within regulation. LPAs observed staff and children (over age 2 years) were not wearing masks/face coverings in the classroom. LPA Lane interviewed Director and two staff members. LPA Lane obtained updated LIC500 Personnel Report, LIC9040 Facility Roster and LIC610 Emergency Disaster Plan from Director during the inspection. (continued on LIC9099-C...)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah Lane	TELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

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 51-CC-20210920085958

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: FOOTHILLS CHRISTIAN INFANT PROGRAM	FACILITY NUMBER: 376105017
	VISIT DATE: 09/29/2021

NARRATIVE

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The Department fully investigated the above allegation and obtained information from the facility file review, facility documents and interviews with the reporting party, Director and staff members. Based upon this information, the preponderance of evidence standard has been met and the allegation that masks are not being worn by staff and children is therefore SUBSTANTIATED. Pursuant to Title 22 of the CA Code of Regulations, the following Type A deficiency was cited (refer to LIC9099-D).

An exit interview was conducted with the Director. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) were provided to Director and signature on this form acknowledges receipt of these rights. LPA observed Notice of Site Visit being posted. Notice of Site Visit must remain posted for 30 days.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah Lane	TELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

LIC9099 (FAS) - (06/04)

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Control Number 51-CC-20210920085958

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: FOOTHILLS CHRISTIAN INFANT PROGRAM	FACILITY NUMBER: 376105017
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/29/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/30/2021 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by...	1 2 3 4 5 6 7	Director will send out a letter to all parents informing of the mask/face covering requirement indoors for children age 2 years and over and will provide extra masks if children do not have one. Director will notify all staff of the requirement to wear a face covering while indoors.
	8 9 10 11 12 13 14	Based upon LPAs observations and staff interviews, staff and children are not wearing face coverings (required by DPH guidance) while indoors which is an immediate health, safety and personal rights risk to children in care.	8 9 10 11 12 13 14	Director will send proof of letter sent out to parents & staff via e-mail to Keturah Lane by 9/30/21. LPA Lane will follow up with another unannounced visit to ensure compliance. E-mail: Keturah.lane@dss.ca.gov
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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: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah Lane	TELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

LIC9099 (FAS) - (06/04)

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