<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700829
Report Date: 09/01/2022
Date Signed: 09/01/2022 12:22:57 PM

Document Has Been Signed on 09/01/2022 12:22 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:DISCOVERY ISLE CHLD DEVELOPMENT CENTER-INFANTFACILITY NUMBER:
376700829
ADMINISTRATOR:GRIGGS, ASHLEYFACILITY TYPE:
830
ADDRESS:3791 OCEANIC WAYTELEPHONE:
(760) 433-3911
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY: 26TOTAL ENROLLED CHILDREN: 24CENSUS: 19DATE:
09/01/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Megan Eckert - Assistant DirectorTIME COMPLETED:
12:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Nasha King was at the facility for the purpose of concluding a complaint investigation. After concluding the complaint investigation, LPA King conducted a Case Management-Deficiencies visit with Assistant Director, Megan Eckert. During the tour with Ms. Eckert, and at approximately 9:41 AM, LPA observed and notated that the restroom inside the infant classroom (on the older infant’s side) was being used as a storage to store various items in addition to restroom use for the children. LPA inquired to Ms. Eckert about why they were using the bathroom as storage, and Ms. Eckert was unable to provide LPA with a definitive answer. LPA observed various items such as sleeping cots, cleaning tools, a paper towel dispenser that was in disrepair on the floor, and other hazardous items that may pose a health and safety risk to the children in care. Additionally, Ms. Eckert advised LPA that only one of the two toilets inside the infant restroom was operable.

Based on LPA’s observation, it has been determined that a violation of Title 22 has occurred.

See LIC 809D for deficiencies cited.

An exit interview was conducted, and this report was reviewed with the Assistant Director, Megan Eckert, and a copy was provided.

Appeal rights were discussed and provided during the exit interview.

A Notice of Site visit was given, and the Licensee understands that it must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Nasha King
LICENSING EVALUATOR SIGNATURE: DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/01/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 09/01/2022 12:22 PM - It Cannot Be Edited


Created By: Nasha King On 09/01/2022 at 11:21 AM
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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: DISCOVERY ISLE CHLD DEVELOPMENT CENTER-INFANT
FACILITY NUMBER: 376700829

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/30/2022
Section Cited
CCR
101238.4(b)

1
2
3
4
5
6
7
101238.4 Storage Space (b) There shall be permanent or portable storage space in the playrooms for play materials and equipment.

This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee agrees to remove all stored items in the restroom, and designate a permamnet storage space other than the restroom. Licensee will submit pictures as proof of correction on or before the Plan of Correction due date of 09/30/2022.
8
9
10
11
12
13
14
LPA King observed that the restroom inside the infant classroom was being used as a storage, housing various items such as personal belongings, sleeping cots, cleaning tools, play materials/equipment, and other hazardous items, which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Carlos Martinez
LICENSING EVALUATOR NAME:Nasha King
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022


LIC809 (FAS) - (06/04)
Page: 2 of 2