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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600332
Report Date: 06/10/2021
Date Signed: 06/10/2021 04:50:19 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE COLLEGE PRESCHOOLFACILITY NUMBER:
376600332
ADMINISTRATOR:CONEJO, BEATRIZFACILITY TYPE:
850
ADDRESS:3536 COLLEGE BLVD.TELEPHONE:
(760) 940-2008
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY:72CENSUS: 38DATE:
06/10/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:19 PM
MET WITH:Daphne LandaTIME COMPLETED:
05:00 PM
NARRATIVE
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On 6/10/21 Licensing Program Analyst (LPA) Otsanya Cameron made an unannounced case management visit to the facility and met with DIrector Daphne Landa, and took census.

The case management visit was conducted in response to the receipt of an unusual Incident report (UIR) from the facility. The UIR was received on 6/9/21. It indicates a child was left unattended and without supervision on the playground during transition to the classroom. The report details that during transition time from outside play to classroom, a child possibly ran back outside to play unbeknownst to staff. While staff prepared meals for children, staff recognized child#1 was missing and later found her outside playing. It was reported that the child was left unattended for approximately 5 mins.

During inspection, LPA observed provider-child interactions, reviewed records and conducted interviews. LPA obtained information that Child #1 was left unattended for at least a five minutes prior to being located by staff.

Based on the information gathered, facility was in violation of supervision requirements. Facility failed to comply with Care and Supervision per regulation section 101229(a)(1) Care and Supervision, which specifies: No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1).


See LIC809-D for deficiency cited.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE COLLEGE PRESCHOOL
FACILITY NUMBER: 376600332
VISIT DATE: 06/10/2021
NARRATIVE
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An exit interview was conducted, and a copy of this report and notice of site visit were provided to Director Daphne Landa.

THE NOTICE OF SITE VISIT IS TO BE POSTED IN A PROMINENT LOCATION AT THE FACILITY FOR THE NEXT 30 DAYS ALONG WITH A COPY OF THE TYPE A DEFICIENCY (LIC809D) CITED DURING THIS INSPECTION. A COPY OF THE TYPE A DEFICIENCY CITED DURING THIS INSPECTION MUST ALSO BE IMMEDIATELY (within 24 hours of the child’s next day in care) GIVEN TO THE PARENTS OF ALL CHILDREN ENROLLED IN THE CHILD CARE FACILITY AND ANY CHILDREN ENROLLED INTO THE CHILD CARE FACILITY OVER THE NEXT 12 MONTHS.

A Civil Penalty has been assessed during this inspection. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.



Appeal rights were explained to Director Daphne Landa A copy of the appeal rights (LIC9058) was provided and the signature on this report acknowledges receipt of those rights.

This report must be available for review, upon request, for the next 3 years

SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE COLLEGE PRESCHOOL
FACILITY NUMBER: 376600332
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/10/2021
Section Cited

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Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.
This requirement was not met by evidence by:
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Based on Information obtained during interview, on 06/08/2021 a child was left unattended with no supervision, which did not include visual observation, during transition from the playground to the classroom.This poses an immediate 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: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:
DATE: 06/10/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3