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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701431
Report Date: 08/17/2022
Date Signed: 08/17/2022 04:51:37 PM

Document Has Been Signed on 08/17/2022 04:51 PM - 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ADVENTURE POINT EARLY LEARNING CENTERFACILITY NUMBER:
376701431
ADMINISTRATOR:TIMOTHY CAPTAINFACILITY TYPE:
850
ADDRESS:1805 EAST 17TH STREETTELEPHONE:
(303) 968-4321
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 13DATE:
08/17/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Cynthia QuintanaTIME COMPLETED:
04:30 PM
NARRATIVE
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On 08/17/2022 at 3:10 PM, Licensing Program Analyst (LPA) Dana Stevens, conducted an unannounced Case Management visit for the purpose of follow-up on an Unusual Incident Investigation. LPA met with Cynthia Quintana and informed her of the purpose of the visit. There were 13 children and 3 staff present at the time of this inspection.

On 07/15/2022 around 4:45 PM, while Staff 1 (S1) and Staff 2 (S2) were transitioning 8 children from the outdoor playground to the Preschool 1 classroom. Child 1 (C1) left the waiting line unnoticed and was left unattended on the outdoor playground. C1 was discovered a few minutes later by a parent and was brought to the attention of S1. C1 was found to be calm and unharmed. Director stated she was not at the facility at the time of the incident and was notified about the incident by S1 at 5:30 PM that evening. Director stated she mailed her written Unusual Incident report to Licensing on 07/18/2022 and attempted to make a verbal report to the Duty Line on the same day but was only able to leave a voicemail message, actual verbal report was made to Duty Officer on 7/21/2022 and written report (LIC 624) was received by Department 07/22/2022.

During this investigation LPA collected facility records and documentation, interviewed Director, S1, S2, daycare children, and daycare parents. Based on the evidence obtained in interviews it is determined that an Absence of Supervision violation occurred, and an Immediate Civil Penalty is being issued.

California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 809-D.

Upon Receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

An exit interview was conducted with the licensee. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2022
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 08/17/2022 04:51 PM - It Cannot Be Edited


Created By: Dana Stevens On 08/17/2022 at 03:48 PM
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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ADVENTURE POINT EARLY LEARNING CENTER
FACILITY NUMBER: 376701431

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/17/2022
Section Cited
CCR
101229(a)(1)

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101229(a)(1)Responsibility for Providing Care and Supervision The licensee shall provide care and supervision as necessary...No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation. This requirement was not met as evidenced by,
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Director has developed new system of face-to-name head counts and log that is implemented every 30 minutes and during transitions. Director will provide a written statement of how this system is being implemented to LPA by 08/19/2022.
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child was left alone and unattended without visual supervision on outdoor playground for a few minutes. This posed an immediate health and safety risk for child 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.
SUPERVISOR'S NAME:Cynthia Gray
LICENSING EVALUATOR NAME:Dana Stevens
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2022


LIC809 (FAS) - (06/04)
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