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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600360
Report Date: 04/12/2024
Date Signed: 04/12/2024 11:41:29 AM


Document Has Been Signed on 04/12/2024 11:41 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:KINDERCARE AGEE PRESCHOOLFACILITY NUMBER:
376600360
ADMINISTRATOR:JEMIMA GREYFACILITY TYPE:
850
ADDRESS:6150 AGEE STREETTELEPHONE:
(858) 453-7530
CITY:SAN DIEGOSTATE: CAZIP CODE:
92122
CAPACITY:100CENSUS: 40DATE:
04/12/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Jemima Grey & Madeline HowertonTIME COMPLETED:
12:00 PM
NARRATIVE
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On 4/12/2024 @ 11:00AM, Licensing Program Analyst (LPA) conducted an unannounced case management inspection. LPA toured the preschool classrooms with Madeline Howerton, Ass't Director.

Type B deficiency was cited today. Type B deficiency if not corrected poses a potential risk to the health, safety or personal rights of children in care.

Exit interview was conducted with Jemima Grey, Site Director. A copy of this report and appeal rights were provided. A notice of site visit was also given and observed posted. Notice of site visit shall remain posted for 30 days.
SUPERVISOR'S NAME: Joelle ReddingTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 929-2327
LICENSING EVALUATOR SIGNATURE:
DATE: 04/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/12/2024
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 2


Document Has Been Signed on 04/12/2024 11:41 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108


FACILITY NAME: KINDERCARE AGEE PRESCHOOL
FACILITY NUMBER: 376600360

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/15/2024
Section Cited
CCR
101218(a)

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ADMISSION POLICIES.
Every child care center shall have all admission policies in writing and available to the public. The policies shall coincide with the limitations stated on the license, and shall include, but not be limited to...
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Per Ms. Grey's statement "We are still recruiting staff to ensure that there is sufficient coverage". Ms. Jemima will submit staffing coverage to ensure that there is coverage in all the classroom by 4/15/2024.
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This requirement was not met as evidenced by:
Based on information obtained, staff required parents to stay and wait for additional staff in order to meet ratio requirements in the preschool room.
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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: Joelle ReddingTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 929-2327
LICENSING EVALUATOR SIGNATURE:
DATE: 04/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/12/2024
LIC809 (FAS) - (06/04)
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