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People, policies & environment
Director
Holly Rosa
Licensee
Boys & Girls Clubs of Northwest San Diego County
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Based on observation, the licensee did not comply with the section cited above. Two daycare children have expired medication (Epi-Pens) at the facility. This poses a potential health, safety or personal rights risk to persons in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
The director states that she will send the expired Epi-Pens home with the parent/guardian of C3 & C5 and request new medication. The director also states that she will send LPA a signed and dated statement detailing how she will ensure that expired medication is not maintained at the facility via email by 3/30/23.
Standard 101226(e)(3)(A) · Health-Related Services
State severity
Type B
Corrected at visit
Not recorded
Correction due
Mar 30, 2023
Technical assistance
Not recorded
Finding source ID
ca:376700138:2023-03-22:101226(e)(3)(A):1
Visit source ID
ca:376700138:2023-03-22:inspection
Child's Records
Minor
Based on record review, the licensee did not comply with the section cited above in 2 out of 5 children's files reviewed did not contain a signed admission agreement. This poses a potential health, safety or personal rights risk to persons in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
The director states that she will send LPA a copy of the signed admission agreements for C2 & C5 via email by 3/30/23.
Standard 101221(b)(6) · Child's Records
State severity
Type B
Corrected at visit
Not recorded
Correction due
Mar 30, 2023
Technical assistance
Not recorded
Finding source ID
ca:376700138:2023-03-22:101221(b)(6):1
Visit source ID
ca:376700138:2023-03-22:inspection
Mar 17, 2022Complaint investigation · substantiated
2 findings
Standard 101223(a)(2)
Minor
Based on interviews with the director, staff and parents, the director did not enforce the use of face masks/coverings on children as required by state mandate in January 2022. This poses a potential health and safety risk to the children in care due to the COVID-19 pandemic.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
Presently the face mask mandate/requirement has been lifted but face masks are still strongly recommended. The director understands that Covid-19 requirements, including the use of face masks/coverings may change at any time and she is required to follow the current requirement and/or mandate.
Standard 101223(a)(2)
State severity
Type B
Corrected at visit
Not recorded
Correction due
Mar 17, 2022
Technical assistance
Not recorded
Finding source ID
ca:376700138:2022-03-17:101223(a)(2):1
Visit source ID
ca:376700138:2022-03-17:other
Standard 101212(d)(1)(C)
Minor
Based on LPA’s interview with Director, the director failed to notify the Department of the unusual incident that occurred on 12/14/21 wherein the facility went into "lock down status" due to a police investigation at the adjacent middle school. This poses a potential health and safety risk to children in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
The director states that she will watch the video titled Child Care Reporting Requirements on the CCLD website, www.ccld.ca.gov. The director will submit a signed and dated summary of the reporting requirements to LPA via email by POC due date of 3/31/22.
Standard 101212(d)(1)(C)
State severity
Type B
Corrected at visit
Not recorded
Correction due
Mar 31, 2022
Technical assistance
Not recorded
Finding source ID
ca:376700138:2022-03-17:101212(d)(1)(C):1
Visit source ID
ca:376700138:2022-03-17:other
Jan 12, 2022Other visit
1 finding
Standard 101170(e)(2)
Critical
Based on LPA's record review, observation and interview with director, a substitute staff member (S1) worked at the facility on 1/12/22 without being associated to the facility. This poses an immediate health and safety risk to children in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
The director states that she will associate S1 to the facility and send verification of the association to LPA via email by POC due date of 1/13/22.
Standard 101170(e)(2)
State severity
Type A
Corrected at visit
Not recorded
Correction due
Jan 13, 2022
Technical assistance
Not recorded
Finding source ID
ca:376700138:2022-01-12:101170(e)(2):1
Visit source ID
ca:376700138:2022-01-12:other
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State records and provider information have separate sources. Provider claims do not establish independently verified care quality. Missing data is not evidence of an issue-free record.