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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700323
Report Date: 01/29/2025
Date Signed: 01/29/2025 04:14:04 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 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
11/08/2024 and conducted by Evaluator Keturah Lane
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20241108162519
FACILITY NAME:DISCOVERY ISLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376700323
ADMINISTRATOR:VANESSA MILROYFACILITY TYPE:
850
ADDRESS:6130 PASEO DEL NORTETELEPHONE:
(760) 431-7090
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:174CENSUS: 48DATE:
01/29/2025
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Vanessa MilroyTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Facility is operating out of ratio
INVESTIGATION FINDINGS:
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On 1/29/25 at 10:40 AM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced complaint visit for the complaint received on 11/8/24, regarding the above allegation. Upon arrival, LPA met with Director Vanessa Milroy and toured the facility. LPA observed a total of 48 children in care with the following ratios:

• Classroom #3 & #4 - 12 children on playground with staff members Isabella Garcia and Sonja Horne
• Classroom #5 - 12 children with staff member Kera Ledbetter
• Classroom #6 - 12 children with staff member Penelope “Penny” Peloquin
• Classroom #8 - 12 children on playground with staff member William Berge
• Classrooms #7, #9 & #10 were not in use

(continued on LIC9099C...)

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
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 3
Control Number 51-CC-20241108162519
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
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: DISCOVERY ISLE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 376700323
VISIT DATE: 01/29/2025
NARRATIVE
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During this visit LPA interviewed three staff members and Director. It is alleged that the facility is operating out of ratio. Based upon documents received from the facility, interviews with reporting party, staff members, enrolled children and parents of enrolled children it is determined through several interviews that approximately once a month, since October 2024, in a couple of the classrooms that there were 13 children with one staff member, which is usually quickly corrected by administration within a few minutes either by moving a child to a different classroom or adding an additional staff member. The allegation is valid because the preponderance of evidence has been met, therefore the allegation is found to be SUBSTANTIATED.

See LIC9099-D for Type B deficiency cited. Exit interview conducted and report was reviewed with facility representative Director Vanessa Milroy. Notice of site visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20241108162519
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
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: DISCOVERY ISLE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 376700323
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/21/2025
Section Cited
CCR
101216.3(a)
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101216.3 Teacher-Child Ratio (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance...this requirement was not met as evidenced by...
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Director stated she would provide a staff training regarding ratio requirements and have staff sign agenda sheet and send to LPA Lane via e-mail by 2/21/25.
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Based upon interviews conducted with reporting party, staff members and parents of enrolled children, about once a month since October 2024 there have been 13 children with one staff member which is a potential 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.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3