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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300323
Report Date: 11/06/2023
Date Signed: 11/06/2023 02:10:48 PM

Document Has Been Signed on 11/06/2023 02:10 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:DISCOVERY PRESCHOOLS, INC - VISTAFACILITY NUMBER:
376300323
ADMINISTRATOR:JEN WILSONFACILITY TYPE:
850
ADDRESS:1280 E VISTA WAY #1TELEPHONE:
(760) 500-8301
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 24DATE:
11/06/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Sally ChenowethTIME COMPLETED:
02:00 PM
NARRATIVE
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On November 6, 2023 at x:xx pm, Licensing Program Analysts (LPA), Jessica Rubio and William Chancellor met with Discovery Preschool -Vista (CCC), Owner Sally Chenoweth to discuss an incident that was not reported to Community Care Licensing (CCL). CCL was made aware of an incident that occurred where child (C1) was unknowingly left unsupervised on the playground for approximately 3-10 minutes while C1’s class was inside the facility. The facility did not report this unusual incident to Community Care Licensing and the incident was only discovered through a complaint investigation, in which the supervision issue was alleged and addressed. The facility is being cited for Title 22 Regulation Section 101212 (d)(1)(C) Reporting Requirements. See LIC 809D for cited deficiency. An exit interview was conducted, and a copy of this report and appeal rights were reviewed with and provided to Owner Sally Chenoweth. A notice of site visit was also provided and must remain posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2023
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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Document Has Been Signed on 11/06/2023 02:10 PM - It Cannot Be Edited


Created By: Jessica M Rubio On 11/06/2023 at 01:17 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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: DISCOVERY PRESCHOOLS, INC - VISTA
FACILITY NUMBER: 376300323

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/20/2023
Section Cited
CCR
101212(d)(1)

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Upon the occurrence.. of any of the events specified in (d)(1) below, a report shall be made to the Department... within...next working day. Events reported shall include...(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement was not met as evidenced by:
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Owner stated a training on Reporting Requirements will be held with Director and Assistant Director and proof will be provided to LPA.
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Based on interviews C1 was left unsupervised on the playground for several minutes and this incidnet was not reported to Community Care Licensing which poses a potential health, safety or personal rigths 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:Pauline Beschorner
LICENSING EVALUATOR NAME:Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:
DATE: 11/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2023


LIC809 (FAS) - (06/04)
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