376600348-5-15-2019-09-CC-KWIS-BCQSDV-20190601134747

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600348
Report Date: 05/15/2019
Date Signed: 05/15/2019 09:31:53 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/15/2019 and conducted by Evaluator Laura Callahan

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20190415083538

FACILITY NAME:	KINDERCARE S. CENTRE CITY PARKWAY PRESCHOOL		FACILITY NUMBER:	376600348
ADMINISTRATOR:	JENNIFER PAULSON		FACILITY TYPE:	850
ADDRESS:	2415 S. CENTRE CITY PARKWAY		TELEPHONE:	(760) 745-2474
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92025
CAPACITY:	72	CENSUS: 49	DATE:	05/15/2019
		UNANNOUNCED	TIME BEGAN:	08:10 AM
MET WITH:	Amy Bowman		TIME COMPLETED:	09:40 AM

ALLEGATION(S):

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Facility is operating out of ratio

INVESTIGATION FINDINGS:

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On this date and time, Licensing Program Analyst (LPA) Laura Callahan arrived at the facility to conclude the investigation in regards to the above allegation. LPA met with Assistant Director, Amy Bowman, toured the facility and took census. LPA observed: 49 preschool children present with 7 staff members.

It was alleged that on 04/02/19, at approximately 8:55 AM, Staff #1, in the "Preschool" classroom was alone with approximately 16 children.

On 04/23/19, LPA interviewed staff and obtained copies of facility records. On this date, additional information was obtained. During the interviews, staff stated that the "Preschool" classroom is one of the morning receiving classrooms and some of the children are transitioned to their assigned classrooms after being dropped off and/or once the staff exceeds their ratio, which is one teacher for every 12 children. Staff stated that children can be moved to other classrooms, within the same age group, to meet their (cont. on LIC9099C).

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura Callahan	TELEPHONE: (951) 204-4913
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019

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 09-CC-20190415083538

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 S. CENTRE CITY PARKWAY PRESCHOOL	FACILITY NUMBER: 376600348
	VISIT DATE: 05/15/2019

NARRATIVE

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correct ratios, however, the transitioning is usually done after the parent leaves the classroom. Staff added that the transition of children is done quickly, but there might be instances when the staff exceeds their ratio.

LPA reviewed documentation associated to this allegation, including facility records. Based on this information as well as the staff's statements, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, are being cited on the attached LIC 9099D.

The Assistant Director acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, the Assistant Director shall post the LIC 9099D with Type A deficiencies for 30 days 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 during the next 12 months. The LIC 9224 must be signed by parents/guardians and kept with the children’s forms as a receipt whenever any Type A documents are provided by the Assistant Director.

An exit interview was conducted with the Assistant Director, a Plan of Correction (POC) was discussed, and Appeal Rights were explained. A copy of this report as well as a copy of the Appeal Rights and form LIC 9224 were provided to Assistant Director, on this date and time.

A Notice of Site Visit was posted and must remain posted for 30 days for public review.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura Callahan	TELEPHONE: (951) 204-4913
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019

LIC9099 (FAS) - (06/04)

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Control Number 09-CC-20190415083538

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 S. CENTRE CITY PARKWAY PRESCHOOL	FACILITY NUMBER: 376600348
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/15/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/16/2019 Section Cited CCR 101216.3(a)	1 2 3 4 5 6 7	Teacher-Child Ratio: There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance. This requirement is not met as evidenced by: On 04/02/19 at approximately 8:55 AM, Staff #1 was alone in the "Preschool" classroom and was providing care and supervision	1 2 3 4 5 6 7	The Assistant Director, Amy Bowman, has agreed to submit a written plan of correction which details how this violation will be avoid in the future. The plan should include how the ratio of one teacher for every 12 children will be met at all times and is due to the licensing office by 05/16/19.
	8 9 10 11 12 13 14	more than 12 children. This violation poses an immediate health and safety risk to the children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura Callahan	TELEPHONE: (951) 204-4913
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019

LIC9099 (FAS) - (06/04)

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