376600318-2-2-2024-51-CC-TDAL-D2DSF3-20240212124940

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600318
Report Date: 02/02/2024
Date Signed: 02/02/2024 02:07:00 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 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
12/11/2023 and conducted by Evaluator Selina Siao

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20231211133736

FACILITY NAME:	KINDERCARE CUYAMACA CENTER		FACILITY NUMBER:	376600318
ADMINISTRATOR:	MONICA COLLINS		FACILITY TYPE:	850
ADDRESS:	9735 CUYAMACA STREET		TELEPHONE:	(619) 562-3423
CITY:	SANTEE	STATE: CA	ZIP CODE:	92071
CAPACITY:	96	CENSUS: 55	DATE:	02/02/2024
		UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Monica Collins		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Facility windows are in disrepair resulting in day care child sustaining an injury.

Facility did not report the incident to licensing.

INVESTIGATION FINDINGS:

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On 02/02/2024 at 1:20pm, Licensing Program Analysts (LPAs) Selina Siao and Sherlynn Banas conducted an unannounced complaint inspection for the complaint received on 12/11/2023. The purpose of the inspection is to delivering findings on the above reference allegations. LPA Siao conducted the initial complaint inspection on 12/13/2023. Throughout the course of investigation, interviews were conducted with several staff members including the Director that had knowledge about the window that broke on 10/12/2023 in the Preschool B classroom. Interviews were also conducted with several daycare parents. Director confirmed that on 10/12/2023, there was an incident during nap time in the Preschool B classroom, where the window broke after a child pushed the window. As a result of the incident, the child sustained an injury requiring medical treatment on the arm on 10/12/2023. The incident was not reported to the licensing department as Director stated that the Risk Management said that they would take care of it. As of today, the Director does not have any supporting document to show that the incident was reported to licensing. Based on LPA's interviews and records reviewed, the preponderance of evidence standard have been met regarding the above allegations, therefore the above allegations are found to be substantiated, per title 22 regulation 101238(a) and 101212(d)(1)(B) are being cited on the attached LIC 9099D.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 51-CC-20231211133736

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 02/02/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/05/2024 Section Cited CCR 101238(a)	1 2 3 4 5 6 7	Building and Grounds The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidence by:	1 2 3 4 5 6 7	Per interviews conducted, the broken glasses were cleaned up immediately and the window was boarded up until it was replaced. The rest of the windows at the facility were assessed on 11/16/2023 by the window company.
	8 9 10 11 12 13 14	On 10/12/2023, one of the window in the Preschool B classroom broke after a child pushed the window. As a result of the incident the child sustained an injury that required medical treatment. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14	The above information was confirmed by LPA Siao with the window company.
Type B 02/05/2024 Section Cited CCR 101212(d)(1)(B)	1 2 3 4 5 6 7	Reporting Requirements Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.	1 2 3 4 5 6 7	Director will submit the unusual incident report to licensing and submit a written plan of correction to LPA no later than 2/05/2024.
	8 9 10 11 12 13 14	In addition, a written report containing the information specified ....shall be submitted to the Department within seven days ... (B) Any injury to any child that requires medical treatment. This requirement is not met: On 10/12/23, a day care child sustained an injury that requires medical treatment and facility did not report the incident to Licensing.	8 9 10 11 12 13 14

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 Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2024

LIC9099 (FAS) - (06/04)

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