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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701261
Report Date: 09/01/2021
Date Signed: 09/01/2021 09:25:03 AM

Substantiated


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
08/12/2021 and conducted by Evaluator James Wilkerson
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210812164109
FACILITY NAME:CHILDREN'S PARADISE, INC. - SCHOOL-AGEFACILITY NUMBER:
376701261
ADMINISTRATOR:LINA BORJAFACILITY TYPE:
840
ADDRESS:2017A MISSION AVENUETELEPHONE:
(760) 433-3800
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY:24CENSUS: 3DATE:
09/01/2021
UNANNOUNCEDTIME BEGAN:
06:50 AM
MET WITH:Lina BorjaTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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Facility staff do not wear face covering.

Facility do not require face covering for children.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) James Wilkerson and Sumayya Habeebulla arrived at this facility to conducted an investigation into the above allegations. LPAs toured the facility and conducted census. On 09/01/21, director did not ensure the personal rights of persons in care to safe and healthful accommodations and engaged in conduct inimical to the health, welfare, and safety of persons in care, in that facility staff, Phillip Varga did not wear a face covering while in the facility, as required by the CA Dept. of Public Health Guidance on the Use of Face Coverings issued July 28, 2021, and an individual mask exception did not apply.
LPAs interviewed three school-age children as well. The interviews with children indicate that staff do not encourage them to wear face coverings. The information received by LPAs observations and children interviews will substantiated the above allegations.

An exit interview was conducted, appeal right discussed and provided along with a copy of this report to Ms. Borja on this date. A Notice of Site Visit posted. A copy of this report must be made available, upon request for three years.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
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 2
Control Number 10-CC-20210812164109
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. - SCHOOL-AGE
FACILITY NUMBER: 376701261
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
09/30/2021
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 was not met as evidenced by a staff membe'sr failure to wear face

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Director, Lina Borja agrees to submit a written copy of how the facilty will remain in compliance with the CDPH regarding face coverings for staff and encouraging children over the age of two to wear face coverings. The written statement will include notification to parents currently enrolled and future enrollees and staff of the facility's approach
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coverings as required by the California Department of Public Health. This is a potential risk to the health and safety of children in care.
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to masking of staff and children in accordance with CDPH. This letter to staff and parents would be in addition to the expectation to follow current guidance to ensure the health and safety of children 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: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
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)
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