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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701204
Report Date: 09/01/2021
Date Signed: 09/01/2021 12:38:03 PM

Document Has Been Signed on 09/01/2021 12:38 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S PARADISE INC-MELROSEFACILITY NUMBER:
376701204
ADMINISTRATOR:CHRISTINA JENKINSFACILITY TYPE:
840
ADDRESS:145 N MELROSE DR STE 100TELEPHONE:
(760) 724-5600
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY: 26TOTAL ENROLLED CHILDREN: 0CENSUS: 10DATE:
09/01/2021
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
06:30 AM
MET WITH:Facility Director-Christina Jenkins & Admin Nicole SteeleTIME COMPLETED:
12:45 PM
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On the above date and time, Licensing Program Analysts (LPAs) Susan Brewer and Alaina Wilburn, arrived at the facility for the purpose of conducting a Case Management Visit in receipt of a Unusual Incident Report (UIR) related to COVID-19 Positive Incident, where an employee tested positive for COVID-19. The UIR was received by the licensing agency on 08/12/2021. LPAs were greeted by facility Assistant Director Leanne Sparks, and granted entry into the facility. Director Christina Jenkins and Administrator Nicole Steele, arrived at a later time.

Facility records were reviewed and LPA S.Brewer interviewed the Director C. Jenkins and Administrator N. Steele. Based on the information gathered the facility followed guidelines for reporting COVID-19 to Community Care Licensing and the Local Public Health Department. Notifications regarding the incident were immediately provided to the families of enrolled children and facility staff. The licensee followed up by offering resources to the families in a timely manner.

An exit interview was conducted and a copy of this report was reviewed and provided to the Director Christina Jenkins.

No civil penalties issued.

No citations issued.

A notice of site visit was issued and posted for public view in the presence of the LPAs.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/01/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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