376600967-9-14-2021-51-CC-RPAK-C74SQN-20210922140502

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600967
Report Date: 09/14/2021
Date Signed: 09/14/2021 09:55:11 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/02/2021 and conducted by Evaluator Joelle Redding

COMPLAINT CONTROL NUMBER: 51-CC-20210702152440

FACILITY NAME:	CHILDREN'S CHOICE - INFANT		FACILITY NUMBER:	376600967
ADMINISTRATOR:	FREDA SIMMONS		FACILITY TYPE:	830
ADDRESS:	1465 EAST MADISON AVENUE		TELEPHONE:	(619) 442-4014
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	19	CENSUS: 13	DATE:	09/14/2021
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Director Freda Simmons		TIME COMPLETED:	09:55 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff props bottles to feed infants

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 9/14/21 @ 9:30 a.m., Licensing Program Analysts, Joelle Redding and Annette Sutherland, made an unannounced visit to deliver findings on the above-referenced allegations.

During the investigation which consisted of interviews, observation and review of pertinent documentation, it was determined that staff feeds at least one infant, who is unable to hold a bottle, by placing the infant in a boppy pillow and propping the bottle up with a blanket. Based on this information, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. A Type B deficiency under California Code of Regulations, (Title 22, Division 12 & Chapter 1) is being cited on the attached LIC 9099D.

Appeal Rights were provided and discussed. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted and will remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 51-CC-20210702152440

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CHILDREN'S CHOICE - INFANT	FACILITY NUMBER: 376600967
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/14/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/19/2021 Section Cited CCR 101427(h)	1 2 3 4 5 6 7	Infant Care Food Service. Infants who are unable to hold a bottle shall be held by a staff person or other adult for bottle feeding. At no time shall a bottle be propped for an infant... This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Director addressed all the infant staff immediately to ensure they understand that if a child cannot hold his/her own bottle, the staff member must hold a child and the bottle to feed him/her.
	8 9 10 11 12 13 14	Based on interviews, Child #1 and possibily other infants in the room, was often fed a bottle in a boppy pillow, with the bottle propped by a blanket or other cloth to hold it in place. This is a potential hazard to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/02/2021 and conducted by Evaluator Joelle Redding

COMPLAINT CONTROL NUMBER: 51-CC-20210702152440

FACILITY NAME:	CHILDREN'S CHOICE - INFANT		FACILITY NUMBER:	376600967
ADMINISTRATOR:	FREDA SIMMONS		FACILITY TYPE:	830
ADDRESS:	1465 EAST MADISON AVENUE		TELEPHONE:	(619) 442-4014
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	19	CENSUS: 13	DATE:	09/14/2021
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Director Freda Simmons		TIME COMPLETED:	09:55 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Infants are left unattended
Infant left in high chair for an extended period of time
Facility is operating out of ratio

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 9/14/21 @ 9:25 a.m., Licensing Program Analysts, Joelle Redding and Annette Sutherland, made an unannounced visit to deliver findings on the above-referenced allegations.

During the investigation which consisted of interviews, observation and review of pertinent documentation, there was not enough evidence to dismiss or prove the allegations. Therefore, they are considered Unsubstantiated. A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiencies are cited. Appeal Rights were provided and discussed. Signature at the bottom of this report confirms receipt.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 3