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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020167
Report Date: 08/17/2021
Date Signed: 08/17/2021 02:56:11 PM

Document Has Been Signed on 08/17/2021 02:56 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:DISCOVERY DAYS PRESCHOOLFACILITY NUMBER:
198020167
ADMINISTRATOR:LISA MARIE SCOTTFACILITY TYPE:
850
ADDRESS:85 PALMETTO DRTELEPHONE:
(707) 621-0499
CITY:PASADENASTATE: CAZIP CODE:
91105
CAPACITY: 83TOTAL ENROLLED CHILDREN: 0CENSUS: 46DATE:
08/17/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director, Julia WeyandTIME COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Fabiola Vasquez conducted an unannounced case management inspection to follow up on an incident that was reported to the Department on 08/06/21. Upon arrival, LPA met with Director, Julia Weyand, who provided LPA a tour of the facility. There were 46 children and 11 staff present during the inspection.

On 08/06/21, an unusual incident report was made to the department regarding an incident that involved a child were the child slipped while pushing a plasma car and sustained an open wound cut on his chin.

The facility reported this incident to the Department within the required 24 hours. During this investigation LPA interviewed with staff 5 and 5 children. LPA obtained documentation relating to the incident. Based on the interviews conducted there were conflicts of statements of how the child got injured and through staff's own admission no one saw what happened. The department has determined that there was a lack of supervision which poses an immediate risk to the health and safety of the children in care.

California Code of Regulations, Title 22, Division 12, are being cited on the attached LIC 809D.

The Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

A printed copy of this report and appeal rights (LIC 9058) was provided to Director Julia Weyand, at the conclusion of the visit and their signature on this form acknowledges receipt of these forms.



The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Fabiola Vasquez
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2021
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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Document Has Been Signed on 08/17/2021 02:56 PM - It Cannot Be Edited


Created By: Fabiola Vasquez On 08/17/2021 at 01:54 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: DISCOVERY DAYS PRESCHOOL
FACILITY NUMBER: 198020167

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
08/18/2021
Section Cited
CCR
101229

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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. ** Supervision shall include visual observation.

This requirement was not met as evidenced by:
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POC Director there is a schedule in place were teachers are assigned to the outside areas and when they need assistant or leave their area, The have to communicate with each other over the walkie talkie.
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Based on the interviews conducted there were conflicts of statements of how the child got injured and through staff's own admission no one saw what happened.


This poses an immediate risk to the health and safety of children in care.
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Per Director she will have a meeting with all staff to ensure supervion and schedule is followed. Per director she will submit proof to LPA by 8/18/21.

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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:Claudia Guangorena
LICENSING EVALUATOR NAME:Fabiola Vasquez
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2021


LIC809 (FAS) - (06/04)
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