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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600318
Report Date: 11/03/2023
Date Signed: 11/03/2023 12:38:06 PM


Document Has Been Signed on 11/03/2023 12:38 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:KINDERCARE CUYAMACA CENTERFACILITY NUMBER:
376600318
ADMINISTRATOR:MONICA COLLINSFACILITY TYPE:
850
ADDRESS:9735 CUYAMACA STREETTELEPHONE:
(619) 562-3423
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:96CENSUS: 41DATE:
11/03/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Monica CollinsTIME COMPLETED:
09:29 AM
NARRATIVE
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On November 3, 2023 at 8:35 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced case management inspection for the purpose of delivering an amended report, LIC 9099 and LIC 9099D from an original report dated 10/16/2023. Upon arrival LPA met with Assistant Director Ana Pacheco and proceeded to tour the facility. During this inspection there were 41 children present with 8 staff members. Appropriate teacher and child ratios were observed. LPA observed staff members Ashley Beauregard and Genet Boru working with children without being associated to the facility. LPA contacted the regional office and based on a review of the Guardian Background Check System, the staff members are clear and eligible to work but are not associated to the facility. The director Monica Collins arrived at approximately 9:15 a.m. The director states that Ms. Beauregard began working at the facility on 5/16/23 and Ms. Boru began working at the facility on 4/4/23.

LPA obtained the appropriate documents to clear the deficiency cited for out of ratio on LPA Curtis's complaint investigation report dated 10/16/23. The deficiency cited on the complaint investigation report for commingling the infant/toddler children with the preschool children has not been cleared.

See LIC809D for cited deficiency. A civil penalty has been assessed.

An exit interview was conducted with Director Collins and appeal rights (LIC 9058) were discussed. A copy of this report as well as a copy of the appeal rights were given to the Director. The director’s signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the director post notice of site visit.

SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2023
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 11/03/2023 12:38 PM - It Cannot Be Edited

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 CUYAMACA CENTER
FACILITY NUMBER: 376600318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/06/2023
Section Cited
CCR
101170(e)(2)

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101170 Criminal Record Clearance:(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 101170(f)...This requirement was not met as evidenced by:
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The director states that she will associate Ms. Beauregard and Ms. Boru to the facility today and send LPA verification that the association has been completed via email by 11/6/23.
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Based on LPA's observation and record review staff members Ashley Beauregard and Genet Boru have criminal record clearances but are not associated to the facility. This poses a potential health, safety or personal rights risk to the 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.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2023
LIC809 (FAS) - (06/04)
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