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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701204
Report Date: 09/01/2021
Date Signed: 03/30/2022 09:22:36 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/24/2021 and conducted by Evaluator Alaina Wilburn
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210824160248
FACILITY NAME:CHILDREN'S PARADISE INC-MELROSEFACILITY NUMBER:
376701204
ADMINISTRATOR:CHRISTINA JENKINSFACILITY TYPE:
840
ADDRESS:145 N MELROSE DR STE 100TELEPHONE:
(760) 724-5600
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY:26CENSUS: 11DATE:
09/01/2021
UNANNOUNCEDTIME BEGAN:
06:30 AM
MET WITH:Christina JenkinsTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff are not following COVID-19 protocol
INVESTIGATION FINDINGS:
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This is an amended report, delivered to the facility on March 30, 2022.

Licensing Program Analysts (LPAs) Alaina Wilburn and Susan Brewer conducted an unannounced complaint inspection on 9/01/2021. LPAs met with Assistant Director Leanne Sparks, to discuss the above stated allegation. Later in visit, Director Christina Jenkins arrived to assist with inspection.

Investigation consisted of: observation of children in Room #3 (combined classroom) and the school bus loading and departure. Investigation revealed the following: On September 1, 2021, upon arrival, LPA Wilburn toured room #3 and observed a Teacher (S1) with six children. LPA observed child #2-6 (C2-C6) wearing a mask, and C1's mask was under chin, because the child was preparing to eat. About 10 minutes later, LPA Brewer arrived at room #3 and observed C1, C7-C10 not wearing a mask, however all other children had masks on. At that time, LPA Brewer did not observe teacher encouraging use of mask for the five out of 10 children. Children were then observed outside in the bus loading area with no masks,
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
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 10-CC-20210824160248
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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-MELROSE
FACILITY NUMBER: 376701204
VISIT DATE: 09/01/2021
NARRATIVE
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however, at this time they were not required to have a mask on outdoors per COVID-19 mandate from California Department of Public Health.

Although during the inspection staff were observed to be wearing proper facial coverings and five out of 10 children were as well, there is not a preponderance of the evidence to prove or disprove that the facility was in violation of COVID-19 mandates. Therefore, the finding is unsubstantiated.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20210824160248
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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-MELROSE
FACILITY NUMBER: 376701204
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
09/06/2021
Section Cited
CCR
101223(a)(2)
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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 is not met as evidenced by:
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Facility will be sending out a new letter to all staff and parents advising that all staff and children over the age of 2 years old will wear a protective face covering. Staff will sign off on the letter, and a copy will be maintained in their files. Director will send a copy of the revised letter to LPA by 5:00pm, September 2, 2021
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On September 1, 2021, licensee did not ensure the personal rights of persons in care to safe and healthful accommodations, in that C1-C10, were observed not wearing face coverings or not encouraged to wear face coverings, as required by the CA Dept. of Public Health Guidance on the Use of Face Coverings issued on July 28, 2021, and an individual mask exception did not apply, which is a potential health & safety risk to children in care.
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Director will ensure the LIC 9224s (Acknowledgement of Receipt of Licensing Report) are completed within 24 hours for all enrolled children, and future enrollees will be informed of Type B deficiency and the form will be completed. Forms for both enrolled and future enrollees will be maintained on record according to Assembly Bill 633.
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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: Stephanie Hudak
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3