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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600967
Report Date: 07/02/2024
Date Signed: 07/03/2024 08:51:56 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
06/27/2024 and conducted by Evaluator Patrick Ma
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20240627170708
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:
07/02/2024
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Freda SimmonsTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility is not properly sanitizing bottles
Equipment is not being maintain in a safe and/or sanitary condition
Infant food is not protected against contamination
Facility is not using proper infant feeding procedures
Facility does not have hot water
INVESTIGATION FINDINGS:
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On 7/2/24 at 10:05AM, LPA Patrick Ma made an unannounced visit to initiate an investigation, for the complaint received on 6/27/24, regarding the above allegations. LPA met with Director, Freda Simmons. Present at the facility were 14 daycare children and 5 Teachers and Aides. LPA conducted staff interviews, received a copy of children’s roster, and reviewed relevant documents and files.

Based on the observation facility equipment is not being maintain in a safe and/or sanitary condition. LPA observed both diaper changing table vinyl cushions were torn with foam filling exposed. Also, LPA ran water in both sinks for a minute and neither had hot water.

Investigations interviewed determined facility is not properly sanitizing bottles, protecting infant food from contamination, or using proper infant feeding procedures. Facility receives clean infant bottles from families every Monday, staff wash the bottles and nipples in the classroom sink with dishwashing detergent and air dry before reuse throughout the week then returns all items to the familiies on Friday.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
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 6
Control Number 51-CC-20240627170708
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: 07/02/2024
NARRATIVE
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**THIS IS AN AMENDED REPORT DELIVERED ON 10/8/24**

Regulations require child care center to sanitize the bottles by dishwasher or a sterilizing method outlined in Section 101427(n).

Investigations interviews determined partially used prepared infant formula bottles have periodically been saved and refed/offered later in the day. Per CDC website, (https://www.cdc.gov/nutrition/infantandtoddlernutrition/formula-feeding/infant-formula-preparation-and-storage.html), "Throw out any infant formula that is left in the bottle after feeding your baby. The combination of infant formula and your baby’s saliva can cause bacteria to grow." LPA advised, per CDC, to use prepared formula within 2 hours of preparation and within one hour from when feeding begins.

Also, interviews determined infants are placed on their backs and provided a bottle if they can support it on their own which is a potential hazard to children in care. Infants must be placed in a highchairs or other appropriate seating equipment during feeding. Infants who are unable to sit unassisted in a high chair or other seating equipment shall be held by a staff for feeding.

The allegations are valid because the preponderance of the evidence has been met, therefore, the above allegations are found to be SUBSTANTIATED. The deficiency is being cited on the attached LIC 9099D.

Exit interview conducted and report was reviewed with the Director Freda Simmons. A notice of site visit was given and must remain posted for 30 days
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 51-CC-20240627170708
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: 07/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/31/2024
Section Cited
CCR
101427(n)
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101427(n) Bottles and nipples maintained by the infant care center shall be sterilized, This requirement is not met as evidenced by:
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Director stated she will issue a letter by 7/31/24, to all parents requesting they replaced infants bottles daily and submit a copy to the department by POC date.
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Based on investigation interviews, staff are washing infant bottles in classroom sink with dishwashing detergent but not sterilizing as required which poses/posed a potential health, safety or personal rights risk to children in care.
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Type B
07/15/2024
Section Cited
CCR
101439(g)
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101439(g) Furniture shall be maintained in good repair and safe condition. This requirement is not met as evidenced by:
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Director stated she will replace the diaper changing pads and provide proof to Department by 7/15/24.
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Based on observation, LPA observed both diaper changing table vinyl cushions were torn with foam filling exposed which poses/posed a potential health, safety or 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.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 51-CC-20240627170708
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: 07/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/04/2024
Section Cited
CCR
101227(a)(19)
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**THIS IS AN AMENDED REPORT DELIVERED ON 10/8/24**
101227(a) (19) All food shall be protected against contamination. Contaminated food shall be discarded immediately. This requirement is not met as evidenced by:
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Director stated all prepared formula and breast milk will be refrigerated if not in use starting 7/4/24.
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Based on investigation interviews, partially used prepared infant formula bottles have periodically been saved and refed/offered later in the day. Per CDC, "Throw out any infant formula that is left in the bottle after feeding your baby. The combination of infant formula and your baby’s saliva can cause bacteria to grow." By feeding left over prepared formula this poses/posed a potential health, safety or personal rights risk to children in care.
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Type B
07/15/2024
Section Cited
CCR
101427(i)
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101427(i) High chairs or other appropriate seating equipment shall be used to seat infants during feeding. Infants who are unable to sit unassisted in a high chair or other seating equipment shall be held by a staff person or other adult for feeding.This requirement is not met as evidenced by:
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Director stated she will provided a sign-in sheet to the Department by 7/15/24 of all infant staff indicating they have been trained and informed that all infants must feed in a high chair or in the arms of a staff if they are not yet eating at a children's tables.
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Based on investigation interviews, infant who can hold their own bottles should be placed in appropriate seating equipment to feed but are often placed on their backs and provided a bottle if they can support it on their own which, poses/posed a potential health, safety or 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.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 51-CC-20240627170708
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: 07/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/15/2024
Section Cited
CCR
101239(e)
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101239(e) Faucets used by children for personal care shall deliver hot water. This requirement was not met as evidenced by:
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Director stated she will have maintenance adjust faucets to offer hot water in the infant class by 7/15/24.
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Based on observation and interviews, infant room sinks does not deliver hot which poses/posed a potential health, safety or 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.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 6