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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600967
Report Date: 08/02/2022
Date Signed: 08/02/2022 10:52:56 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
06/17/2022 and conducted by Evaluator Joelle Redding
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220617135116
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: 14DATE:
08/02/2022
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Director Freda SimmonsTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Child sustained unexplained injury while in care
Facility did not report an unexplained injury to the child's parent
INVESTIGATION FINDINGS:
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On 8/2/22 @ 10:05 a.m., Licensing Program Analyst (LPA), Joelle Redding, made an unannounced visit to deliver complaint findings on the above referenced allegations. Based on interviews with staff and review of relevant documentation, Child #1 sustained an unexplained injury to the face, while at day care, resulting in bruising. The injury required assessment, but was not reported to the child's parent nor recorded in the child's records per regulation.

The preponderance of evidence standard has been met and the above allegations are found to be SUBSTANTIATED, California Code of Regulations, (Title 22, Division 12 & Chpt 1) are being cited on the accompanying LIC 9099D. Exit interview was conducted, Appeal Rights were reviewed and Notice of Site Visit was provided and posted and will remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022
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-20220617135116
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: 08/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/16/2022
Section Cited
CCR
101429(a(1)
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101429 Responsibility for Providing Care and Supervision for Infants...Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.

This requirement was not met as evidenced by:
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Director states that she visited the issue of supervision with all the staff regarding reporting all incidents on Bright Wheel immediately so she also has record of the incident occurring. She will be conducting a staff meeting tomorrow and will provide the agenda and the roster for the meeting as proof of correction.
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Based on interview and review of relevant documentation, staff had knowledge of an injury occuring to Child #1 while in care, but had not been directly observing the child when the injury occurred, which could have prevented or explained, what occurred. This is a potential risk to the health and safety of children in care.
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Type B
08/16/2022
Section Cited
CCR
101226.3(b)
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Observation of the Child. Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record.

This requirement was not met as evidenced by:
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Director states that she visited the issue of supervision with all the staff regarding reporting all incidents on Bright Wheel immediately so she also has record of the incident occurring. She will be conducting a staff meeting tomorrow and will provide the agenda and the roster for the meeting as proof of correction.
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Based on interview and review of relevant documentation, Staff #1 observed that Child #1 had an injury that needed assessment. This injury was not reported to the child's parent or recorded in the child's record. This is a potential risk to the health and safety of 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: Joelle Redding
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022
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
06/17/2022 and conducted by Evaluator Joelle Redding
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220617135116

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: DATE:
08/02/2022
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:TIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Facility is out of ratio
INVESTIGATION FINDINGS:
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Based on information obtained via interviews and review of relevant documentation, there are some staff that are not required to log in and out on a time clock or sheet and there is no record of which teachers are in and out of which classrooms. Statements made were contradictory. Therefore, this allegation is considered to be 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 for this allegation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022
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