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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600350
Report Date: 11/12/2021
Date Signed: 11/12/2021 12:52:20 PM



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
10/20/2021 and conducted by Evaluator Otsanya Cameron
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20211020081845
FACILITY NAME:KINDERCARE S. CENTRE CITY PARKWAY INFANTFACILITY NUMBER:
376600350
ADMINISTRATOR:JENNIFER PAULSONFACILITY TYPE:
830
ADDRESS:2415 S. CENTRE CITY PKWAYTELEPHONE:
(760) 745-2474
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:30CENSUS: 13DATE:
11/12/2021
UNANNOUNCEDTIME BEGAN:
11:33 AM
MET WITH: Director Jennifer PaulsonTIME COMPLETED:
12:14 PM
ALLEGATION(S):
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Staff handled infant in a rough manner
Staff threw an object at an infant
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Otsanya Cameron arrived at the facility to deliver findings for the above allegations. LPA met with Director Jennifer Paulson, toured the facility, and confirmed census of 2 children.

It was alleged Staff handled infant in a rough manner; Staff threw an object at an infant.
1 out of 5 Interviews revealed that a soft object was thrown in the direction of a child in care, but not directly at the child. The remaining interviews could not confirm that an object was ever thrown or that a similar event was observed.

Additionally, 1 out of 6 interviews revealed that a staff handled an infant in a rough manner. The remaining interviews state that no personal rights violations were witnessed, however, that a staff may have exhibited some frustration while working. LPA was unable to corroborate the allegation or identify a risk to the health and safety of the children in care.
Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 10-CC-20211020081845
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 INFANT
FACILITY NUMBER: 376600350
VISIT DATE: 11/12/2021
NARRATIVE
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Based on information gathered, “Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation/s did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with the director. A copy of this report and a notice of site visit was provided
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2