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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700414
Report Date: 03/10/2023
Date Signed: 03/20/2023 06:18:01 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, 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
02/09/2023 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20230209143245
FACILITY NAME:DISCOVERY ISLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376700414
ADMINISTRATOR:MELINDA CARVALHOFACILITY TYPE:
850
ADDRESS:14521 TED WILLIAMS PARKWAYTELEPHONE:
(858) 748-5600
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:164CENSUS: 109DATE:
03/10/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Melinda CarvalhoTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Unqualified staff is providing care and supervision to children.
INVESTIGATION FINDINGS:
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On 3/10/23 at 11:30 AM Licensing Program Analyst (LPA) Adrian Mangina made an unannounced complaint visit for the complaint received on 2/9/23 for the purpose of continuing the investigation of the above reference allegation.

During this visit LPA brienfly toured facility. While there, LPA observed that the sharks and Dolphins classrooms were supervised by an aid who supervised by an unqualified teacher. During the visit LPA, continued staff file reviews from previous visit, and interviewed staff. The allegation above is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be SUBSTANTIATED. The deficiency is being cited on the attached LIC 9099D.

Exit interview conducted and report was reviewed with the facility representative Melinda Carvalho. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2023
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 2
Control Number 51-CC-20230209143245
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: DISCOVERY ISLE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 376700414
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/10/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/17/2023
Section Cited
CCR
101216.2
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TEACHER'S AID QUALIFICATIONS:An aide shall work only under the direct supervision of a teacher.
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LIcensee states will complete a schedule that ensures that in each classroom a teacher's aid shall work only under the direct supervision of a fully qualified teacher and will provide this schedule to LPA no later than close of business 3/17/23. LIcensee also states will ensure that all classrooms in future are properly staffed.
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Based on observation and record review he licensee did not comply with the section cited above as eight infants were supervised by an unqualified teacher and an aid which poses a potential health, safety or personal rights risk to persons in care.
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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: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2