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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600334
Report Date: 02/10/2023
Date Signed: 02/10/2023 11:06:41 AM


Document Has Been Signed on 02/10/2023 11:06 AM - 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:KINDERCARE COLLEGE INFANTFACILITY NUMBER:
376600334
ADMINISTRATOR:AUNICA DEFALCOFACILITY TYPE:
830
ADDRESS:3536 COLLEGE BLVD.TELEPHONE:
(760) 940-2008
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY:36CENSUS: 20DATE:
02/10/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Aunica DeFalcoTIME COMPLETED:
11:15 AM
NARRATIVE
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Licensing Program Analysts (LPAs) James Wilkerson & Jeanette Sanchez arrived at this facility to follow-up on an Unusual Incident Report (UIR) that occurred on 02/06/23. On that date children were being transitioned from the Toddler Classroom to the Infant "A" Classroom. A child was left unattended for what the facility stated was less than one minute. The child was left in the hallway alone and was found by a parent who notified staff.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months.

The Notice of Site Visit and Type A Deficiencies from today’s visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each.

SEE LIC 809D for deficiency cited.

Additionally, this is the second citation for the same regulation within a 12 month period (09/29/22) and will result in a $250.00 Civil Penalty.

SEE LIC 421*FC

A Civil Penalty has been assessed on this visit. 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.
An exit interview was conducted, appeal rights discussed and will be provided along with form LIC 9224 (AB633), a Notice of Site Visit and a copy of this report.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James WilkersonTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:
DATE: 02/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/10/2023
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 02/10/2023 11:06 AM - 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501


FACILITY NAME: KINDERCARE COLLEGE INFANT
FACILITY NUMBER: 376600334

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/10/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/11/2023
Section Cited

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Responsibility for Providing Care and Supervision - (a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include
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Director, Aunica DeFalco agrees to conduct training to staff on supervision and submit a copy of the itinerary of the training to CCL by 02;/11/23.
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visual observation. This requirement was not met as evidenced by: A child was left alone in the hallway during transition from the Toddler Classroom to the Infant "A" Classroom and was found by a parent who notified staff. This poses an immediate risk to the health and safety of the children.


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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: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James WilkersonTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:
DATE: 02/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/10/2023
LIC809 (FAS) - (06/04)
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