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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701442
Report Date: 12/20/2021
Date Signed: 12/20/2021 04:40:40 PM

Document Has Been Signed on 12/20/2021 04:40 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:PARENTCARE CENTRAL FAMILY RECOVERY INFANTFACILITY NUMBER:
376701442
ADMINISTRATOR:ANGELA ROWEFACILITY TYPE:
830
ADDRESS:4125 ALPHA STREET, SUITE FTELEPHONE:
(619) 668-4210
CITY:SAN DIEGOSTATE: CAZIP CODE:
92113
CAPACITY: 7TOTAL ENROLLED CHILDREN: 7CENSUS: 0DATE:
12/20/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Angela RoweTIME COMPLETED:
04:45 PM
NARRATIVE
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On 12/20/21, at 9:30AM., Licensing Program Analysts (LPAs) Luigi Gargaro and Cindy Meier, conducted an unannounced annual inspection for the infant license and met with Director, Angela Rowe and TLC Director Beth Reynolds. LPAs disclosed the purpose of the inspection and toured the facility indoors and outdoors. This is a partial day program which operates year around. Days and hours of operation are Monday-Friday from 8:30AM-3:30PM. The care program currently operates from 8:30AM to 12:45PM on Mondays and Thursdays. There is one classroom in operation. The following ratios were observed: The infant room (serves children age 6 months through 2 years): There were no children present with 3 staff members during today's visit.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All toilets and handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. Infant outdoor area has appropriate cushioning material to absorb falls. The facility is free of flies, insects and rodents. There is a working carbon monoxide detector.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 12/20/2021 04:40 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 12/20/2021 at 02:35 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: PARENTCARE CENTRAL FAMILY RECOVERY INFANT
FACILITY NUMBER: 376701442

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101429(a)(2)(B)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPAs staff interviews and record reviews, the licensee did not comply with the section cited above as facility does not currently keep Safe Sleep Log which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 01/03/2022
Plan of Correction
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Facility states will start maintaining logs immediately going forward for any napping children every 15 minutes documenting any signs of distress. Facility will send LPA copies of logs from 12/21/21 to 01/03/22 to complete correction.
Type B
Section Cited
CCR
101429(a)(2)(B)(3)(a)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: (3) Infants up to 12 months of age who are sleeping in a position other than on their back. (a) If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPAs staff interviews and record reviews, the licensee did not comply with the section cited above as no Individual Infant Sleeping Plans were completed for any children in care which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/03/2022
Plan of Correction
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Facility states they will have all parents complete the LIC 9227 and send analyst copies of forms by 01/03/22 correction date.
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:Jason Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2021


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Document Has Been Signed on 12/20/2021 04:40 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 12/20/2021 at 02:36 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: PARENTCARE CENTRAL FAMILY RECOVERY INFANT
FACILITY NUMBER: 376701442

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(g)(1)
Personnel Requirements
(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as no staff members had completed health screenings which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 01/24/2022
Plan of Correction
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Facility states that they will obtain health screenings for all staff members and submit copies to analyst by 01/24/22 to complete the correction.
Type B
Section Cited
CCR
101220(a)
Child's Medical Assessments
(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as none of the enrolled children had completed physician's reports which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 01/24/2022
Plan of Correction
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Facility states they will have parent's obtain physician's report for enrolled children and send copies of completed documentation to analyst by 01/24/22.
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:Jason Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2021


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Document Has Been Signed on 12/20/2021 04:40 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 12/20/2021 at 02:36 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: PARENTCARE CENTRAL FAMILY RECOVERY INFANT
FACILITY NUMBER: 376701442

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101419.2(b)(2)
Infant Needs and Services Plan
(b) The needs and services plan shall be in writing and shall include the following: (2) Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)], which is incorporated by reference.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPAs staff interviews and record reviews, the licensee did not comply with the section cited above as no Individual Infant Sleeping Plans were completed for any children in care which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 01/10/2022
Plan of Correction
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Facility states they will have all parents complete the LIC 9227 and send analyst copies of forms by 01/10/22 correction date.
Type B
Section Cited
CCR
101429(a)(2)(C)
Responsibility for Providing Care and Supervision for Infants
(5) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as sleep logs were not maintained for infants in care which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/03/2022
Plan of Correction
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Facility states will start maintaining logs immediately going forward for any napping children every 15 minutes documenting any signs of distress. Facility will send LPA copies of logs from 12/20/21 to 01/03/22 to complete correction.
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:Jason Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2021


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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: PARENTCARE CENTRAL FAMILY RECOVERY INFANT
FACILITY NUMBER: 376701442
VISIT DATE: 12/20/2021
NARRATIVE
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A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. All children are under supervision, including visual supervision, of a teacher at all times.

There is a ratio of one teacher supervising no more than four infants in care. LPAs reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child, individual feeding plan, and Infant Needs and Services Plan. LPAs reviewed a sample of staff files and observed files were complete with immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. Staff records contain documentation of meeting qualification requirements. Menus are posted at least one week in advance where an authorized representative can view them. The facility has sufficient age appropriate furniture, and equipment including cribs, cots or mats, changing tables and feeding chairs. There is indoor and outdoor activity space for infants that is physically separate.

Each crib, mat or cot is occupied by only one infant at time and cribs are kept free from all loose articles including blankets and pillows and there are no objects hanging above or attached to the crib. Infants are not swaddled while in care. Staff physically checks on sleeping infants but have not been documenting signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Documentation for infants up to 12 months includes sleeping position if it is other than on their back. Individual Infant Sleeping Plan (LIC 9227) has not been completed for infants up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping. Staff-infant ratio requirements are being met while infants are sleeping.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: PARENTCARE CENTRAL FAMILY RECOVERY INFANT
FACILITY NUMBER: 376701442
VISIT DATE: 12/20/2021
NARRATIVE
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This facility does not provide Incidental Medical Services (IMS). Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPAs and director discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, California Megan’s Law (www.meganslaw.ca.gov), Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following four type B deficiencies are being cited: (see next page, 809 D) An exit interview was conducted with Ms. Reynolds. She was provided a copy of facility appeal rights (LIC 9058)
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021
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