372005757-2-7-2020-51-CC-ERED-BLKRNG-20200207121019

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 372005757
Report Date: 02/07/2020
Date Signed: 02/07/2020 12:10:27 PM

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:	KINDERCARE LEARNING CENTER - PASEO MONTANOSO		FACILITY NUMBER:	372005757
ADMINISTRATOR:	MARY ROLFES		FACILITY TYPE:	850
ADDRESS:	11290 PASEO MONTANOSO		TELEPHONE:	(858) 672-1200
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92127
CAPACITY:	107	CENSUS: 43	DATE:	02/07/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Mary Rolfes		TIME COMPLETED:	10:30 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts (LPAs), Elise Read and Joelle Redding, met with Director Mary Rolfes for the purpose of an annual inspection. There were 43 children present with 5 staff as follows: preschool classroom #1 had 18 children with 2 teachers, preschool classroom #3 had 9 children with 1 teacher, and preschool classroom #4 had 12 children with 2 teachers. Classroom # 2 is the toddler option, which had 4 children with 1 teacher. Classroom #5 is used for the school aged children after school, but there were no children present in this room at the time of inspection. The facility is within ratio and capacity. Program operates Monday through Friday from 6:00 a.m. to 6:30 p.m. LPAs toured the rooms. The furniture, books, games and toys are safe, age-appropriate and in good repair. Rooms were a comfortable temperature during this visit. No hazards were noted. All storage containers and trashes have tight fitting lids and are in good repair. The facility provides breakfast, lunch and p.m. snack. There is a kitchen which is clean and sanitary with all food stored properly, per regulation. Menus are posted. Hand washing and toileting areas are in a safe, sanitary and in operating condition. Medications are kept in each classroom, inaccessible to children. Poisons, disinfectants, cleaning solutions and other items that are dangerous to children have been made inaccessible. There is no evidence of rodent or insect activity. Outdoor play area is fully fenced with sufficient cushioning and adequate shade. No hazards were noted. Outdoor water fountains are used. The carbon monoxide detector is operational (located in the kitchen). Upon review of the sign in/sign out sheets, LPA observed that 11 children present today were not signed in. LPA reviewed a sample of personnel records for a health screening and a sample of children's records for emergency information and a medical assessment. There is at least one staff present with current CPR and First Aid certification. Isolation area is the Director's office. SB 792 (staff immunizations) and AB 1207 (Mandated Reporter Training) requirements have been met. Effects of Lead Exposure Handout provided for dissemination to parents/guardians.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise Read	TELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: KINDERCARE LEARNING CENTER - PASEO MONTANOSO	FACILITY NUMBER: 372005757
	VISIT DATE: 02/07/2020

NARRATIVE

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Services were in place today.

Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

LPAs obtained updated copies of LIC 500, Parent Handbook, and Daily Activity Schedule. LPAs also requested updated LIC 610 for the facility to be submitted to the Department.

Please see LIC 809D for cited deficiencies.
An exit interview was conducted with the Director. The Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise Read	TELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: KINDERCARE LEARNING CENTER - PASEO MONTANOSO	FACILITY NUMBER: 372005757
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/07/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/14/2020 Section Cited	1 2 3 4 5 6 7	The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on record review, licensee did not ensure that all children were signed in and out of the facility, as 11 children were missing from the sign in sheets, which poses a potential Health, Safety, or Personal Rights risk to children in care.	8 9 10 11 12 13 14	This will be submitted to LPA Elise Read via email by the POC due date of 02/14/2020.
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Elise Read	TELEPHONE: (619) 767-2240
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2020

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020

LIC809 (FAS) - (06/04)

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