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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600967
Report Date: 06/03/2022
Date Signed: 06/03/2022 11:28:40 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
05/27/2022 and conducted by Evaluator Adrian L Mangina
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220527113839
FACILITY NAME:CHILDREN'S CHOICE - INFANTFACILITY NUMBER:
376600967
ADMINISTRATOR:FREDA SIMMONSFACILITY TYPE:
830
ADDRESS:1465 EAST MADISON AVENUETELEPHONE:
(619) 442-4014
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:19CENSUS: 13DATE:
06/03/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Freda SimmonsTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Facility is not following COVID-19 protocols.
INVESTIGATION FINDINGS:
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On 6/3/22 at 9:45 AM Licensing Program Analyst (LPA) Adrian Mangina made an unannounced initial 10-day visit, for the complaint received on 5/27/22, regarding the above allegation. LPA met with Director, Freda Simmons. There were 13 infants in care with four staff. Proper ratios and supervision were observed.

LPA Mangina toured the classroom, obtained child attendance records, Director declaration, staff handbook, parent handbook, LIC500, and conducted staff interviews, made a confidential names list, and received a copy of the children’s roster. Based on the information obtained during interviews, observations, and documentation reviewed it is determined that facility did not follow covid 19 porotocols as facility failed to report positive covid case to the Health Department and Licensing as required.

(continued on LIC9099 page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022
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-20220527113839
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: 06/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/06/2022
Section Cited
CCR
101212(d)(1)(E)
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REPORTING REQUIREMENTS: Upon the occurrence... during the operation of the child care center... a report shall be made to the Department by telephone or fax next working day...in addition, a written report...shall be submitted...seven days...to include... epidemic outbreaks. This requirement was not met as evidenced by:
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LIcensee states will provide LIC624 Incident Report and will notify staff and parents in writing and provide LIC624 and written notification to LPA no later than close of business 6/6/22. Licensee also states that in future will report all required incidents within mandated timeframes.
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Based on Director statement and interviews, Facility representative did not follow covid guidelines as covid positive result of staff #1 was not reported to the Department verbally within 24 hours or in written form within 7 days, which poses a potential health and 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.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20220527113839
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
VISIT DATE: 06/03/2022
NARRATIVE
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(LIC9099 page 2)


See LIC9099 - D for deficiency cited

Exit interview conducted and report was reviewed with facility representative, Freda Simmons. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3