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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600648
Report Date: 08/12/2021
Date Signed: 08/12/2021 12:10:04 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 - CARLSBAD INFANT CENTERFACILITY NUMBER:
376600648
ADMINISTRATOR:REBEKAH SITOMPULFACILITY TYPE:
830
ADDRESS:1200 PLUM TREE ROADTELEPHONE:
(760) 435-0001
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:43CENSUS: 17DATE:
08/12/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Assistant Director Beatriz CornejoTIME COMPLETED:
12:00 PM
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On 8/12/2021 at 10:00 a.m., Licensing Program Analysts, Joelle Redding and Michael Morales-DeSilvestore, met with Assistant Director Beatriz Cornejo for the purpose of an unannounced annual inspection. There were 7 toddlers with a teacher and an Aide in Toddler A and 10 infants with 3 teachers in Room #1. Facility is within ratio and capacity. Program operates Monday thru Friday from 7:30 a.m. to 5:30 p.m.

LPA toured the rooms. The furniture, books, games and toys are safe, age-appropriate and in good repair. Rooms were a comfortable temperature during this visit. No hazards were noted. All foods/beverages are labeled/dated and stored per regulation in the infant room refrigerator. 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 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 for all infants. There is at least one staff present with current CPR and First Aid certification. Any medications are kept in the classroom or the Director's office, depeding on type, and are inaccessible to children. There is no evidence of rodent or insect activity. The carbon monoxide detector is operational. LPA reviewed, sign in/out sheets (electronic), 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 procedures and documentation were discussed. LIC 9227's were on file for all infants under the age of 12 months. Sleep checks are recorded on an Ipad and alarms remind staff to check timely.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
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 - CARLSBAD INFANT CENTER
FACILITY NUMBER: 376600648
VISIT DATE: 08/12/2021
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Covid-19 precautionary procedures and guideliens are in place. Groups are staying stable and social distancing is encouraged.

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. 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 PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021
LIC809 (FAS) - (06/04)
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