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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600348
Report Date: 02/14/2024
Date Signed: 02/14/2024 02:44:23 PM


Document Has Been Signed on 02/14/2024 02:44 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:KINDERCARE S. CENTRE CITY PARKWAY PRESCHOOLFACILITY NUMBER:
376600348
ADMINISTRATOR:STEPHANIE MANGIONEFACILITY TYPE:
850
ADDRESS:2415 S. CENTRE CITY PARKWAYTELEPHONE:
(760) 745-2474
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:72CENSUS: 58DATE:
02/14/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Stephanie Mangione, DirectorTIME COMPLETED:
02:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Tricia Danielson conducted this case management visit to address a deficiency discovered during the investigation of complaint control #10-CC-20240205100826.

Records reviewed during the investigation indicated the center did not submit Unusual Incident Reports (UIRs) for several epidemic outbreaks among the students from January 3, 2024 to present day. Therefore, California Code of Regulations (Title 22), are being cited on the attached LIC 9099 D.

An exit interview was conducted, and a copy of this report was provided along with Appeal Rights and notice of site visit.
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Tricia DanielsonTELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2024
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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Document Has Been Signed on 02/14/2024 02:44 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
RIVERSIDE SE CC RO, 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: 02/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/26/2024
Section Cited
CCR
101212(d)(1)(E)

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Reporting Requirements-(d) Upon the occurrence...a report shall be made to the Department by telephone or fax within seven days following the occurrence of such event.(1) Events reported shall include the following:
(E)Epidemic outbreaks. This requirement was not met as evidenced by:
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Licensee agrees to submit a written statement of understanding of the regulation cited. All instances of epidemic outbreak or illness (3 or more cases) are to be reported to the department regardless of confirmation of diagnosis. POC will be submitted to CCL by POC due date.
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The licensee did not ensure epidemic outbreaks of fever, vomiting, and diarrhea were reported from January 3, 2024 to present day. This poses 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: Deborah MullenTELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Tricia DanielsonTELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2024
LIC809 (FAS) - (06/04)
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