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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700414
Report Date: 03/17/2025
Date Signed: 03/17/2025 03:33:31 PM

Document Has Been Signed on 03/17/2025 03:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:DISCOVERY ISLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
376700414
ADMINISTRATOR/
DIRECTOR:
MELINDA CARVALHOFACILITY TYPE:
850
ADDRESS:14521 TED WILLIAMS PARKWAYTELEPHONE:
(858) 748-5600
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY: 164TOTAL ENROLLED CHILDREN: 164CENSUS: 116DATE:
03/17/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Melinda CarvalhoTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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On 3/17/25 at 11:30 a.m, LPA Renita Rodriguez made an unannounced visit to follow up on self reported incident, received on 3/14/25. LPA met with Director, Melinda Carvalho, and explained purpose of the visit. LPA conducted interviews and obtained evidence. LPA observed appropriate ratios with 116 children and 18 staff.

Facility self reported on 3/14/25 an incident regarding a child alone on the playground, which occurred on 3/14/25. Staff S1 and S2 were providing supervision to children on playground. S3 observed the children lining up at their classroom as S3 entered the office to use the restroom. S3 exited the restroom located in the office and found C1 on playground unsupervised. S3 recognized the child and walked the child to the classroom. S3 opened the door to the classroom and S1 and S2 were not aware child had not entered back into the classroom during the transition from playground to classroom. The facility investigated the incident.

See 809D for deficiency cited.

Exit interview conducted and report was reviewed with the Director Melinda Carvalho. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2025
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 03/17/2025 03:33 PM - It Cannot Be Edited


Created By: Renita Rodriguez On 03/17/2025 at 01:04 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: 03/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/21/2025
Section Cited
CCR
101229(a)1)

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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care & supervision as necessary to meet children's needs.(1)No child(ren) shall be left without supervision of a teacher at any time
This requirement is not met as evidenced by:
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Director states a meeting with a follow up physical training on 3/19/25. Director stated techinical support training has been followed up on with licensing. Director will be submitting a sign in sign out sheet from for all attendees of the training on 3/19/25.
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Based on interviews the facility did not ensure the supervision of a child during transitin from playground to classrom, which posed a potential Safety rights to persons in care.
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The training will consist of personal rights, face to name, safety and supervision. The sign in sign out sheet will be submitted by 3/21/25.

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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:Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/17/2025


LIC809 (FAS) - (06/04)
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