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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701003
Report Date: 08/04/2021
Date Signed: 08/04/2021 10:10:14 AM

Document Has Been Signed on 08/04/2021 10:10 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S PARADISE INC.- INFANTFACILITY NUMBER:
376701003
ADMINISTRATOR:DELANEY VILLANIFACILITY TYPE:
830
ADDRESS:986 W EL NORTE PKWYTELEPHONE:
(760) 480-1300
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY: 26TOTAL ENROLLED CHILDREN: 0CENSUS: 14DATE:
08/04/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Director Delaney VillaniTIME COMPLETED:
10:15 AM
NARRATIVE
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Licensing Program Analyst (LPA), Jeanette Sanchez, conducted a Case Management visit on this date to address an issue separate from the complaint investigation (Complaint Control # 10-CC-20210310135956) conducted. LPA Sanchez met with Delaney Villani, Director. During course of complaint Investigation, it was revealed that Child #1 sustained an injury that required medical intervention, however, the facility failed to seek medical attention in a timely manner, and did not report the incident to the appropriate parties. LPA Sanchez confirmed that the lack of medical intervention could have caused Child #1’s injury/condition to decline or worsen.

See LIC809D for cited deficiencies of the California Code of Regulations, Title 22, Div. 12.

An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to the Director. A copy of this report must be made available to the public upon request for the next 3 years.

SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 08/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/04/2021
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 08/04/2021 10:10 AM - It Cannot Be Edited


Created By: Jeanette Sanchez On 08/04/2021 at 09:44 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: CHILDREN'S PARADISE INC.- INFANT
FACILITY NUMBER: 376701003

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/04/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/13/2021
Section Cited
CCR
101223

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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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Director states that trainings were conducted on 5/26/21 and 6/17/21 to address procedures/policy regarding reporting injuries. Director will also include injury reporting requirements in new staff onboarding training.
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Based on observation, interviews and records
review, the licensee failed to seek medical attention in a timely manner, and did not report the incident to the appropriate parties
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Director will provide copy of training and attendance log and new staff onboarding agenda to LPA by 8/13/21.

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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:Stephanie Hudak
LICENSING EVALUATOR NAME:Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE: 08/04/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/04/2021


LIC809 (FAS) - (06/04)
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