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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600318
Report Date: 05/14/2024
Date Signed: 05/14/2024 05:09:20 PM


Document Has Been Signed on 05/14/2024 05:09 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
SAN DIEGO N. CC RO, 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: 31DATE:
05/14/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Monica CollinsTIME COMPLETED:
05:30 PM
NARRATIVE
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On 5/14/24 at 4:00 PM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced case management visit at the facility. LPA had arrived at 12:55 PM for another reason and during that visit observed two staff members at the facility whose fingerprints were not clear or associated to the facility. At 4:00 PM, LPA observed the following census:
Pre-K classroom had 11 children with Zarifa Alidost
Discover 2's classroom had 11 children with Staci Grosekemper
Outside playground had 9 children with Erin Markert

Based upon record review, staff member S2 had fingerprint clearance but was not associated to this facility and S1 did not have any fingerprints listed on the Guardian website. A Type B deficiency was cited for the staff member (S2) that did not have the fingerprints associated to the facility and a type A deficiency was cited for the staff member (S1) that did not have a fingerprint clearance. (See LIC809-D for deficiencies cited). Civil penalties were assessed in the amount of $600. Licensee was provided a copy of the Civil Penalties assessment LIC421BG.

LPA Keturah Lane informed facility representative Monica Collins that this report dated 5/14/24 documents 1 Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

(continued on LIC809-C...)

SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 629-8435
LICENSING EVALUATOR SIGNATURE:
DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/14/2024
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: KINDERCARE CUYAMACA CENTER
FACILITY NUMBER: 376600318
VISIT DATE: 05/14/2024
NARRATIVE
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Also, LPA Keturah Lane informed the facility representative Monica Collins to provide a copy of this licensing report dated 5/14/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with facility representative Director Monica Collins. Notice of site visit was provided and must be posted for 30 days.

SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 629-8435
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/14/2024 05:09 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108


FACILITY NAME: KINDERCARE CUYAMACA CENTER
FACILITY NUMBER: 376600318

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/15/2024
Section Cited
CCR
101170(e)(1)

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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:
(1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by...
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Director stated she will have staff member S1 fingerprint cleared on 5/15/24 and submit completed LIC9163 Livescan document via e-mail to LPA Lane. S1 may not work at the facility until fingerprints have cleared.
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Based upon record review, staff member S1 did not have a fingerprint clearance on record which is an immediate health, safety and personal rights risk to children in care.
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Type B
05/15/2024
Section Cited
CCR101170(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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Director stated she will associate S2 to this facility by 5/15/24 and send printout of association in Guardian via e-mail to LPA Lane.
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Based upon record review, staff member S2 had fingerprint clearance but was not associated to the correct facility which is a potential health, safety and 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.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 629-8435
LICENSING EVALUATOR SIGNATURE:
DATE: 05/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/14/2024
LIC809 (FAS) - (06/04)
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