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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370800144
Report Date: 11/10/2021
Date Signed: 11/30/2021 01:30:21 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
11/03/2021 and conducted by Evaluator Michelle Hood
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20211103103654
FACILITY NAME:CORONADO BAPTIST CHILD CARE CENTERFACILITY NUMBER:
370800144
ADMINISTRATOR:PRYSOCK, MARTHAFACILITY TYPE:
850
ADDRESS:111 ORANGE AVENUETELEPHONE:
(619) 435-8121
CITY:CORONADOSTATE: CAZIP CODE:
92118
CAPACITY:58CENSUS: 26DATE:
11/10/2021
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Martha Prysock, Director &
John Roamer, Pastor
TIME COMPLETED:
03:05 PM
ALLEGATION(S):
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Day care children not wearing masks
INVESTIGATION FINDINGS:
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On 11/10/2021 at 8:25 a.m., Licensing Program Analyst (LPA) Michelle Hood arrived to conduct an unannounced 10-day complaint inspection. Upon arrival, LPA met with Director and toured the facility. During mid-inspection, Licensing Program Manager (LPM) Cynthia Gray joined LPA at the facility. In classroom #1 there were 13 children and two staff. In classroom #2 there were 13 children and two staff during the inspection.

During today’s inspection, LPA observed 23 of 26 children and five staff were wearing a face covering. Three of 26 children were not wearing a face covering. LPA interviewed the director, staff and children. On 10/21/2021, LPA observed one out of 15 children wearing a face covering inside the classroom. On 10/27/2021, LPA and LPM observed 12 out 12 children without face coverings in the classroom. On 10/27/2021 & 11/10/2021, LPA and LPM observed a Face Covering Letter giving the parents a choice to have their child wear or not wear a face covering while in care posted throughout the facility. Based on LPA and LPM's observations and interviews, the facility is not enforcing the face covering requirement per the County of San Diego and California Department of Public Health (CDPH) for children 2 years and older.

This is an amended licensing report from an original report dated 11/10/2021.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021
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 4
Control Number 20-CC-20211103103654
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: CORONADO BAPTIST CHILD CARE CENTER
FACILITY NUMBER: 370800144
VISIT DATE: 11/10/2021
NARRATIVE
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On 08/16/2021, 08/18/2021 and 10/27/2021, LPA provided the facility with face covering guidance from CDPH.

This complaint allegation is determined to be Substantiated as the preponderance of evidence standard has been met. A Type B deficiency under California Code of Regulations, Title 22, Division 12 & Chapter 1, is being cited on the attached LIC 9099D, indicating a potential hazard to children in care. Appeal Rights were discussed and provided. The signature at the bottom of this report confirms receipt. Notice of Site Visit was posted and will remain posted for 30 days.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 20-CC-20211103103654
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: CORONADO BAPTIST CHILD CARE CENTER
FACILITY NUMBER: 370800144
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/10/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/19/2021
Section Cited
CCR
101223(a)(2)
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101223 (a) (2) Personal Rights. The licensee shall ensure that each child is accorded the following personal rights...To be accorded safe, healthful ...accommodations...to meet his/her needs. This requirement was not met as evidenced by:

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The pastor stated he will provide LPA a revised letter to the daycare parents regarding the face covering policy. The pastor will submit a written face covering letter, signed and dated by each staff no later than 11/19/2021.
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Based on LPA and LPM's observations and interviews, the facility is not enforcing the face covering requirement per the (CDPH) for children 2 years and older. This is a potential hazard 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: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4