376600362-7-1-2021-51-CC-JREG-C4HQZF-20210701123640

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376600362
Report Date: 07/01/2021
Date Signed: 07/01/2021 12:36:45 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	KINDERCARE AGEE INFANT		FACILITY NUMBER:	376600362
ADMINISTRATOR:	BIBIANCA JIMENEZ		FACILITY TYPE:	830
ADDRESS:	6150 AGEE STREET		TELEPHONE:	(858) 453-7530
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92122
CAPACITY:	48	CENSUS: 18	DATE:	07/01/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Director Bibianca Jimenez		TIME COMPLETED:	11:15 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 7/1/2021 at 10:30 a.m. Licensing Program Analyst, Joelle Redding, met with Director Bibianca Jimenez for the purpose of an unannounced annual inspection. During this visit there were 2 infants with two teachers in Room #3 and 16 toddlers (older infants) in Room #2 with two teachers and two aides. The facility has a pending decrease for this program. Room #4 is not in use and will go to the preschool program. Facility is within ratio and capacity. Program operates from 7:30 a.m. to 5:30 p.m. There is currently a stomach bug going on in the infant room with staff and children and the facility was in the process of having parents pick up. LPA will not be touring Room #3 today. LPA toured the toddler room. The furniture, books, games and toys are safe, age-appropriate and in good repair. The room was a comfortable temperature during this visit. No hazards were noted. Food service area for older infants consists of a kitchen which is clean and free of hazards, with food stored in covered containers at 45 degrees or less and the menu is posted. Infant bedding/napping equipment is sufficient and meets regulatory requirements. The outdoor activity space is separate from other programs with age appropriate play equipment. Hand washing and toileting areas are in a safe, sanitary and in operating condition. All storage containers or trash cans containing solid waste have tight fitting lids and are in good repair. Infant changing tables have padded, washable vinyl at least one inch thick with sides raised at least 3 inches, per regulation and are within arm’s reach of a sink. Infant Needs and Services were on file. There is several staff present with current CPR and First Aid certification. Any medications are centrally stored, inaccessible to children. There is no evidence of rodent or insect activity. The carbon monoxide detector is operational. LPA reviewed sign in/out sheets, a sample of personnel records for educational qualifications and a sample of children's records for emergency information and medical assessments. SB 792 (staff immunizations) and AB 1207 (Mandated Reporter Training) requirements have been met. Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com. Safe Sleep was discussed. Isolation area is the Director's office.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: KINDERCARE AGEE INFANT	FACILITY NUMBER: 376600362
	VISIT DATE: 07/01/2021

NARRATIVE

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Approved IMS Plan is on file. No services are not in place today.

Licensee is signed up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov.

No deficiencies are cited.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021

LIC809 (FAS) - (06/04)

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