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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334818396
Report Date: 11/01/2023
Date Signed: 11/01/2023 03:07:50 PM

Document Has Been Signed on 11/01/2023 03:07 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:DISCOVERY ISLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334818396
ADMINISTRATOR:TONIA GOLDBACHFACILITY TYPE:
850
ADDRESS:32220 HIGHWAY 79 S.TELEPHONE:
(951) 303-8903
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY: 188TOTAL ENROLLED CHILDREN: 188CENSUS: 86DATE:
11/01/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:16 PM
MET WITH:Tonia GoldbachTIME COMPLETED:
03:30 PM
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On November 1, at 9AM, Licensing Program Analyst (LPA) William Chancellor arrived and was greeted and granted access to facility by Director (DIR) Tonia Goldbach. A case management visit is being conducted in response to the receipt of an Unusual Incident Report (UIR) received by the licensing agency on 10/17/23. DIR also called the duty line on 10/19/23 to notify CCL of an incident where a child required medical attention.

Unusual incident was reviewed and confidential interview's were conducted with staff 1 and Staff 2.

Based on information gathered, the facility acted appropriately and no violations have been identified. Parents were immediately notified and child was transported for medical attention.

The site has since taken extra precaution to move furniture and update the environment to prevent children from running inside the classroom and colliding. Staff have incorporated age appropriate materials to redirect children from running and actively remain vigilant to keep children engaged, to encourage walking feet. Facility has also incorporated rubber and pool noodles onto the furniture in the 2 year old classroom to prevent any future incidents.

There are no deficiencies at this time.

An exit interview was conducted, and a copy of this report was provided to facility staff.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2023
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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