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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376608733
Report Date: 02/20/2024
Date Signed: 02/20/2024 03:31:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/18/2024 and conducted by Evaluator Adrian L Mangina
COMPLAINT CONTROL NUMBER: 51-CC-20240118125101
FACILITY NAME:PODHORSKY-DAINS, GEORGIANNA FAMILY CHILD CAREFACILITY NUMBER:
376608733
ADMINISTRATOR:GEORGIANNA PODHORSKY-DAINSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 401-3020
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:14CENSUS: 0DATE:
02/20/2024
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Mary PodhorskyTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Licensee didn’t provide complete reporting details to parent
LIcensee failed to report incident to Licensing
INVESTIGATION FINDINGS:
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On 2/20/24 at 3:15 Licensing Program Analyst (LPA) Adrian Mangina conducted an unannounced visit for the purpose of delivering findings for the complaint received 1/18/24 regarding the above allegation. There were no children in care at the time of the visit. Licensee stated that the facility has been closed since 12/16/24.

It was alleged that Licensee didn’t provide complete reporting details to parents and Licensee failed to report incident to Licensing that a child was injured at the daycare during a fall. Witnesses reported that on 12/15/23, Licensee Mary Podhorsky fell while holding a child in her arms and sustained an injury that required urgent medical care. Licensees admitted that they failed to inform parents that a child was involved in the fall and that no report was made to Licensing verbally within 24 hours or in writing within 7 days. Although LPA could not prove that the child was injured in the fall, there was a bruise found on the child

continued on LIC9099 page 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2024
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 51-CC-20240118125101
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: PODHORSKY-DAINS, GEORGIANNA FAMILY CHILD CARE
FACILITY NUMBER: 376608733
VISIT DATE: 02/20/2024
NARRATIVE
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LIC9099 page 2

after the incident and the fall was was serious enough to warrant a report to authorized representatives and Licensing. Record review revealed that no Unusual Incident Report (LIC624B) was submitted as required. Based on the information obtained during interviews, observations, and documentation reviewed it is determined that Licensees didn’t provide complete reporting details to parent and Licensee failed to report inciident to Licensing. The allegation is valid because the preponderance of the evidence has been met, therefore, the above allegations are found to be SUBSTANTIATED

Deficiencies are being cited on the attached LIC9099D.

The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Mary Podhorsky includ. A notice of site visit was given and must remain posted for 30 days
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 51-CC-20240118125101
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: PODHORSKY-DAINS, GEORGIANNA FAMILY CHILD CARE
FACILITY NUMBER: 376608733
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/27/2024
Section Cited
CCR
102416.2(b)(3)(C)
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REPORTING REQUIREMENTS: A report shall be made to the Department on the following events: Any unusual incident... that threatens the physical or emotional health or safety of any child."
This requirement was not met as evidenced by:
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Licensee states will submit a written incident report (LIC624B) to Licensing no later than close of business 2/27/24.
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Based on interviews Licensee admitted that she fell and sustained a major injury while holding child 1 which caused child to cry and did not report this to Licensing, which posed a potential health, safety, or personal rights risk to children in care.
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Type B
02/27/2024
Section Cited
CCR
102416.2(f)(1)
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REPORTING REQUIREMENTS: no later than the same business day, the licensee shall notify a child's parent...acts that affect that child,...Shall be reported to that child's parent...regardless of treatment by a medical professional. This requirement was not met as evidenced by:
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Licensee states will contact parents of child 1 and report the incident and provide proof to LPA no later than close of business 2/27/24.
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Based on interviews Licensee admitted that she fell and sustained a major injury while holding child 1 which caused child to cry and did not report this fall to parents which posed a potential health, safety, or personal rights risk to 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: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3