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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700512
Report Date: 12/30/2024
Date Signed: 12/30/2024 02:46:41 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 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
11/15/2024 and conducted by Evaluator Renita Rodriguez
COMPLAINT CONTROL NUMBER: 51-CC-20241115133558
FACILITY NAME:DISCOVERY ISLE CHILD DEVELOPMENT CENTER - INFANTFACILITY NUMBER:
376700512
ADMINISTRATOR:MELINDA CARVALHOFACILITY TYPE:
830
ADDRESS:14521 TED WILLIAMS PARKWAYTELEPHONE:
(858) 748-5600
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY:20CENSUS: 11DATE:
12/30/2024
UNANNOUNCEDTIME BEGAN:
12:58 PM
MET WITH:Brittney MccrayTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Day care child sustained unexplained injury(s) while in care.
Facility failed to follow reporting requirements.
INVESTIGATION FINDINGS:
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On 12/30/24 at 12:58 p.m., Licensing Program Analyst Renita Rodriguez made an unannounced visit for the complaint received on 11/15/24 for the purpose of delivering findings on the above referenced allegations. LPA met with Assistant Director Brittney Mccray. The following ratios were observed today: 11 children and 5 staff.

Based on the information obtained during observations of the facility, photos of injury, and interviews conducted on 11/22/24, 12/5/24, 12/6/24 and 12/30/24 for the allegation, " Day care child sustained unexplained injury(s) while in care” the evidence provided that staff reported an unexplained injury for C1 while in care. Although staff did not observe the injury occur, they did agree that it occurred while the child was present at the facility. Staff concluded the injury could have been caused by a couple of possible factors in the infant room but was unsure of the actual cause or time of day on 11/5/24, due to the lack of visual observation at the time the injury occurred.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2024
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 3
Control Number 51-CC-20241115133558
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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 CENTER - INFANT
FACILITY NUMBER: 376700512
VISIT DATE: 12/30/2024
NARRATIVE
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Based on the information obtained during interviews conducted on 11/22/24, 12/5/24, 12/6/24 and 12/30/24 for the allegation, " Facility failed to follow reporting requirements” evidence provided staff did not report or provide notice and information to parent of a child in care in any manner, regarding an alleged occurrence involving the child possibly being mishandled by a staff member. Assistant Director, Brittney Mccray states the parent was not notified by the facility regarding this alleged occurrence.

There is a preponderance of evidence to prove that the alleged violations occurred. The allegations are valid because the preponderance of the evidence has been met, therefore, the above allegations are found to be substantiated.

Exit interview conducted and report was reviewed with the Assistant Director, Brittney Mccray. A notice of site visit was given and must remain posted for 30 days. Failure to post notice of site visit will result in an immediate $100.00 civil penalty.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20241115133558
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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 CENTER - INFANT
FACILITY NUMBER: 376700512
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2025
Section Cited
CCR
101429(a)(1)
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101429 Responsibility for Providing Care and Supervision for Infants
(a)In addition to Section 101229...(1)Each infant shall be constantly supervised.... by a staff at all times.

This requirement is not met as evidenced by:
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Assistant Director Brittney Mccray states she will obtain and coordinate for staff to complete supervision training. A sign in sign out sheet for each staff that completed the training will be sent to LPA Renita Rodriguez by 1/24/25.
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Based on interviews the facility did not ensure the supervision of infant in care, resulting in an unexplained injury, which poses an immediate Safety and
Personal Rights risks to persons in care.

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Type B
01/28/2025
Section Cited
CCR
101212(d)(1)(D)
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101212 Reporting Requirements(d)Upon occurrence, during operation of center... events below. report shall be made to Department by phone/ fax within the Department's next working day... (1) Events include... (D) suspected physical...abuse of child
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Assistant Director Brittney Mccray states she will be reporting ouch reports requring medical attention to licensing with the unusual incident reports form. She will also report any incident she would consider to be unusual.
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This requirement is not met as evidenced by..

Based on interviews and record review facility did not report unusual incident by the next working day, incident reported 9 days later, which posed a potential Health, Safety or Personal Rights risks 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.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2024
LIC9099 (FAS) - (06/04)
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