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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701262
Report Date: 08/18/2021
Date Signed: 08/18/2021 10:41:37 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-20210812163311
FACILITY NAME:CHILDREN'S PARADISE, INC. - PRESCHOOLFACILITY NUMBER:
376701262
ADMINISTRATOR:LINA BORJAFACILITY TYPE:
850
ADDRESS:2017A MISSION AVENUETELEPHONE:
(760) 433-3800
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY:152CENSUS: 49DATE:
08/18/2021
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Lina BorjaTIME COMPLETED:
10:55 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 Joanne Domingo arrived at this facility to conduct an investigation into the above allegations. LPAs toured the facility and conducted census. There is an allegation that staff in the facility are not wearing face coverings and are not requiring children to wear any face coverings during this time of the COVID-19 pandemic. The following was observed:

On 08/18/21, Director, Lina Borja did not completely 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 five out of fifteen facility staff were not wear face coverings while in the facility, as required by the California Department of Public Health Guidance on the Use of Face Coverings issued June 18, 2020 and updated November 16, 2020, and an individual mask exception did not apply. Based on LPA’s observations and interviews conducted, that some staff are not wearing face coverings and are not requiring children to wear face coverings, the above allegations are SUBSTANTIATED. See LIC 9099C for continuance of this report.


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021
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-20210812163311
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. - PRESCHOOL
FACILITY NUMBER: 376701262
VISIT DATE: 08/18/2021
NARRATIVE
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See LIC 9099D for deficiency cited.

A Notice of Site Visit was posted.

An exit interview was conducted, appeal rights discussed and provided along with a copy of this report to Ms. Borja on this date.

A copy of this report must be made available to the public, upon request for three years.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20210812163311
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. - PRESCHOOL
FACILITY NUMBER: 376701262
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/18/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
08/21/2021
Section Cited
HSC
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 staff members failure to wear face

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Director, Lina Borja agrees to stay in compliance with requirements set forth by the California Department of Public Health and submit in writing that the facility will do so. Ms. Borja agrees to submit the written statement to CCL by 08/25/21.

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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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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: 08/18/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3