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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600817
Report Date: 08/08/2024
Date Signed: 08/08/2024 11:39:21 AM

Document Has Been Signed on 08/08/2024 11:39 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:ESCONDIDO COMMUNITY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376600817
ADMINISTRATOR/
DIRECTOR:		MONIQUE GAPUZFACILITY TYPE:
830
ADDRESS:613 E LINCOLN AVENUETELEPHONE:
(760) 839-9330
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY: 54TOTAL ENROLLED CHILDREN: 54CENSUS: 19DATE:
08/08/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Monique Gapuz TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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On 08/08/2024 at 9:20 am, Licensing Program Analysts (LPAs) Gabriela Hernandez and Anastasia Flores conducted an unannounced case management visit in regards to an unusual incident report received on 07/22/24. LPAs met with Director Monique Gapuz, to discuss the reported incident. LPAs toured the facility, reviewed records and conducted interviews with 3 staff.

LPAs were provided a video footage of the incident. LPAs observed the following on the video. There were 6 children with S1 and S2 on the carpet in the corner of the classroom. LPAs can hear S1 and S2 encouraging the other 5 children to physically harm C1. This incident happened for approximately one minute. The facility initiated disciplinary action for S1 and S2.

Based on interviews and records review, the facility is cited for violation of Title 22, Section 101223 (a) (3), Personal Rights. See LIC809D for cited deficiency.A Civil Penalty of $500.00 was assessed for this violation of Title 22 Regulations. See LIC 421BG.

An exit interview was conducted. A copy of this report, 809D, LIC421BG and appeal rights were reviewed and handed to the Director.



The Director was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.
If the facility receives a Type A violation, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Gabriela Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2024
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 08/08/2024 11:39 AM - It Cannot Be Edited


Created By: Gabriela Hernandez On 08/08/2024 at 11:04 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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: ESCONDIDO COMMUNITY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 376600817

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/16/2024
Section Cited
CCR
101223(a)(3)

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101223(a)(3)(a)The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

The requirement is not met as evidenced by:
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Disciplinary action was taken on S1 and S2. Director will have personal rights training for all staff to ensure this does not happen again. Plan of Correction will be emailed to LPA by 08/16/24.
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Based on observation, interview
and record review, S1 and S2 initiated 5 children to physically harm C1 on 07/19/24 which posed an immediate 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.
SUPERVISOR'S NAME:Pauline Beschorner
LICENSING EVALUATOR NAME:Gabriela Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 08/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/08/2024


LIC809 (FAS) - (06/04)
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