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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701263
Report Date: 09/01/2021
Date Signed: 09/01/2021 09:25:55 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 James Wilkerson
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210824161447
FACILITY NAME:CHILDREN'S PARADISE, INC. - INFANT CENTERFACILITY NUMBER:
376701263
ADMINISTRATOR:LINA BORJAFACILITY TYPE:
830
ADDRESS:2017A MISSION AVENUETELEPHONE:
(760) 433-3800
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY:40CENSUS: 6DATE:
09/01/2021
UNANNOUNCEDTIME BEGAN:
06:50 AM
MET WITH:Lina Borja - DirectorTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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9
Staff are not following Covid-19 mandates
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) James Wilkerson and Sumayya Habeebulla arrived at the facility to conduct an investigation. Upon arrival LPAs noticed there were no children or Staff in the Infant Room. LPAs toured the Facility and conducted census. Staff and Students arrived while LPAs were present and it was observed the Infant Staff were wearing masks upon arrival. DUring a previous visit LPA James Wilkerson and Joanne Domingo observed staff in the Infant care were wearing masks. LPAs are unable to prove the allegation is true nor false.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
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.
Unsubstantiated
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)
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