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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370800144
Report Date: 09/10/2024
Date Signed: 09/10/2024 11:57:39 AM

Document Has Been Signed on 09/10/2024 11:57 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CORONADO BAPTIST CHILD CARE CENTERFACILITY NUMBER:
370800144
ADMINISTRATOR/
DIRECTOR:
MARTHA PRYSOCKFACILITY TYPE:
850
ADDRESS:111 ORANGE AVENUETELEPHONE:
(619) 435-8121
CITY:CORONADOSTATE: CAZIP CODE:
92118
CAPACITY: 58TOTAL ENROLLED CHILDREN: 58CENSUS: 14DATE:
09/10/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Pastor John RoamerTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
NARRATIVE
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On 09/10/2024 at 10:00 am, Licensing Program Analysts (LPAs) Michelle Hood and Julieta Abrego made an unannounced inspection to follow up on an incident that was disclosed during interviews wherein a child two years old was discovered alone in front of the facility. There were 14 children with three staff on the playground. During today's inspection, LPAs interviewed three staff and Pastor.

During interviews with daycare parents and staff on a complaint received on 06/20/2024, it was disclosed a child was found by a female outside of the facility of 111 Orange Avenue, 92118 sometime between 8:00 am and 9:00 am. A daycare parent was approached while leaving the facility by the female asking about the child. The daycare parent immediately took the children inside the facility to a facility staff that were on the facility playground at the time. After review of the facility file, and interviews it was determined the Pastor John Roamer (acting director) did not report the incident to the Licensing Department within twenty-four from the time of the incident and the LIC 624B was not submitted within seven business days.

LPA Hood informed Pastor John Roamer that this report dated 09/10/2024, documents one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk to the health, safety, or personal rights of children in care.



Also, LPA Hood informed Pastor John Roamer to provide a copy of this licensing report dated 09/10/2024, that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE: DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/10/2024
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 09/10/2024 11:57 AM - It Cannot Be Edited


Created By: Michelle Hood On 09/10/2024 at 07:38 AM
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: CORONADO BAPTIST CHILD CARE CENTER

FACILITY NUMBER: 370800144

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
09/10/2024
Section Cited
CCR
101229(a)(1)

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101229(a)(1) Responsibility for Providing Care and Supervision. The licensee shall provide care and supervision as necessary to meet the children's needs. No child shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement was not met by:
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The pastor stated door knob covers are in place. The doors to the main lobby will be closed and lock. The pastor stated he will create a plan and submit the plan to LPA Hood within 24 hours.
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Based on interviews a child was found outside of the facility by a female and daycare parent. Due to facility doors being left open for facility ventiliation a child left the facility. This is a immediate Health and Safety Risk to children in care.
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Request Denied
Type B
10/08/2024
Section Cited
CCR101212(d)(1)(C)

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101212 (d)(1)(C)• Reporting Requirements. Upon the occurrence, during the operation of the child care center of any of the events…a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information…shall be submitted to the Department within seven days following the occurrence of such event. Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement was not met by:
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The pastor stated he will complete the LIC 624B and submit the form to LPA Hood. The pastor will create a plan to ensure incidents are reported to the Dept. with 24 hours and the LIC 624B is submitted within seven days from the date of the incident.
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Based on the admittance of Pastor John Roamer and a file review completed by LPA Hood, the facility did not notify the Dept. within twenty-four hours or submit the LIC 624B (UIR report) within seven days from the day of the incident. This is a potential Health & Safety 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.
SUPERVISOR'S NAME:Cynthia Gray
LICENSING EVALUATOR NAME:Michelle Hood
LICENSING EVALUATOR SIGNATURE:
DATE: 09/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/10/2024


LIC809 (FAS) - (06/04)
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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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CORONADO BAPTIST CHILD CARE CENTER
FACILITY NUMBER: 370800144
VISIT DATE: 09/10/2024
NARRATIVE
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This is a repeat violation because the facility was cited for the same violation on 10/12/2023, for violation of Responsibility for Providing Care and Supervision. An immediate civil penalty of $1000 was assessed for repeated violation within 12 months.

An exit interview was conducted with Pastor John Roamer. The Pastor was provided appeal rights (LIC9058) and their signature on this form acknowledges receipt of these rights. Provided Notice of Site Visit. LPAs observed that LIC 9213 was posted. See LIC 809D for a Type A & B deficiency.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
LIC809 (FAS) - (06/04)
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