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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700414
Report Date: 03/10/2023
Date Signed: 03/14/2023 07:21:34 AM

Document Has Been Signed on 03/14/2023 07:21 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:DISCOVERY ISLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376700414
ADMINISTRATOR:MELINDA CARVALHOFACILITY TYPE:
850
ADDRESS:14521 TED WILLIAMS PARKWAYTELEPHONE:
(858) 748-5600
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY: 164TOTAL ENROLLED CHILDREN: 164CENSUS: 109DATE:
03/10/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Melida CarvahloTIME COMPLETED:
09:30 AM
NARRATIVE
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On 3/10/23 at 10:00 AM Licensing Program Analyst (LPA) Adrian Mangin was at the facility for another matter. LPA met with facility representative who provided LPA with a brief tour of the facility.

During the inspection LPA took child counts in the classrooms and found that in the Sea Stars classroom there were a total of 19 children being supervised by one fully qualified teacher and one aid with no units.

See LIC 809 - D for Type A deficiency cited.

Exit interview conducted and report was reviewed with the facility representative Melinda Carvahlo. The Licensee was provided a copy of this report. A Notice of Site Visit (LIC9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA Mangina informed facility representative Melinda Carvahlo that this report dated 3/10/23 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Mangina informed the facility representative to provide a copy of this licensing report dated 3/10/23 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2023
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 03/14/2023 07:21 AM - It Cannot Be Edited


Created By: Adrian L Mangina On 03/10/2023 at 02:44 PM
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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: DISCOVERY ISLE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 376700414

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/10/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/13/2023
Section Cited
CCR
101216.3

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TEACHER-CHILD RATIO: The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance.
This requirement was not met as evidenced by:
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Licensee states will provide staffing schedule that shows adequate staffing for the Sea Stars classroom no later than close of busienss 3/13/23, and will, in future ensure that all classrooms abide by capacity and ratio requirements.
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Base don observation and record review the licensee did not comply with the section cited above as the Sea Stars room had 19 children supervised only by one fully qualified teacher and one aid with out six units which poses an immediate health, safety or personal rights risk to persons 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:Renesha Askew
LICENSING EVALUATOR NAME:Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:
DATE: 03/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2023


LIC809 (FAS) - (06/04)
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