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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600648
Report Date: 03/02/2023
Date Signed: 03/02/2023 12:22:09 PM


Document Has Been Signed on 03/02/2023 12:22 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:KINDERCARE - CARLSBAD INFANT CENTERFACILITY NUMBER:
376600648
ADMINISTRATOR:MELISSA RUIZFACILITY TYPE:
830
ADDRESS:1200 PLUM TREE ROADTELEPHONE:
(760) 435-0001
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:43CENSUS: 28DATE:
03/02/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Director Melissa RuizTIME COMPLETED:
11:50 AM
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On 3/2/2023 @ 11:30 a.m. Licensing Program Analyst (LPA), Joelle Redding, made an unannounced visit to follow up on a self-reported incident that occurred on 2/15/22 wherein a 1 year old child fell, sustaining a cut on the eyebrow.

LPA spoke with Staff #1 and #2 who were present with 7 infants in the classroom during the time of the incident. The child was on a soft, age appropriate rocking horse and toppled over, hitting the table nearby. Both staff witnessed the incident. Staff #1 was within a few feet and immediately responded to the fall, providing first aid until the Assistant Director arrived.

Ratios and supervision were in place, furnishings were age appropriate, facility staff responded appropriately and reported timely. They have since removed the rocking horse for precautionary purposes. No deficiencies are cited.

NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:
DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/02/2023
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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