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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701404
Report Date: 05/15/2024
Date Signed: 05/15/2024 12:03:43 PM

Document Has Been Signed on 05/15/2024 12:03 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:PLAYHOUSE PRESCHOOL INFANT CENTERFACILITY NUMBER:
376701404
ADMINISTRATOR/
DIRECTOR:		PATRICIA BOBBFACILITY TYPE:
830
ADDRESS:6545 BALBOA AVENUE, SUITE BTELEPHONE:
(858) 279-2009
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY: 43TOTAL ENROLLED CHILDREN: 43CENSUS: 19DATE:
05/15/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Shelley McDoleTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
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On 5/15/24 at 11:45 am, Licensing Program Analyst (LPA) Gerald Poindexter, while at the facility for another matter, conducted an unannounced case management, based observations from an unrelated visit on 3/7/24. LPA met today with the licensee, Shelley McDole. Also present were 7 staff and 19 day care infants.

During that 3/7/24 visit the LPA observed infants asleep on “boppy pillows,” a type of nursing pillow. Additional, photographic evidence was provided to the LPA of a previous occasion when infants were asleep on the same type of pillow -- contrary to manufacturer’s (and pediatric) intended use guidelines and recommendations.

Direction supervision was in place. Therefore, one Type B deficiency is cited. Type B deficiencies if not corrected poses a potential risk to the health, safety and personal rights of children in care.

Exit interview conducted and report was reviewed with the licensee, Shelley McDole. Appeal rights were provided. A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2024
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 05/15/2024 12:03 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 05/15/2024 at 11:55 AM
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: PLAYHOUSE PRESCHOOL INFANT CENTER
FACILITY NUMBER: 376701404

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/31/2024
Section Cited
CCR
101223(a)(2)

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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:
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The licensee, Shelley McDole, stated that she will conduct a staff training on infant sleep regulations. By 5/31/24, via email, she will provide the LPA with an agenda of topics reviewed and a sign-in sheet confirming full staff member attendance at the training. LPA advised licensee of the Department’s YouTube training videos.
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Based upon observation and photographic evidence, on multiple occasions, children were asleep on “boppy pillows” contrary to manufacturer’s (and pediatric) intended use guidelines and recommendations. This poses an immediate health, safety and personal rights risk to children 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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 05/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/15/2024


LIC809 (FAS) - (06/04)
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