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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600650
Report Date: 08/05/2022
Date Signed: 08/05/2022 11:00:48 AM


Document Has Been Signed on 08/05/2022 11:00 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:KINDERCARE - CARLSBADFACILITY NUMBER:
376600650
ADMINISTRATOR:CORRIE BARRICKFACILITY TYPE:
850
ADDRESS:1200 PLUM TREE ROADTELEPHONE:
(760) 435-0001
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:125CENSUS: DATE:
08/05/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Director Melissa RuizTIME COMPLETED:
10:15 AM
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On 8/5/22 @ 9:30 a.m. , Licensing Program Analyst (LPA), Joelle Redding, made an unannounced visit to evaluate the facility to ensure the requirements of the Compliance Plan, effective 4/27/22, are being met.

Requirements include the following:

· Licensee/Representatives shall ensure that personnel are competent to provide the services necessary to meet the individual needs of children in care and be employed in numbers sufficient to meet those needs.

· Direct care staff shall receive regular in-service training on the above Preventative Plans and Procedures in order to carry out their assigned duties. Future staff including substitutes shall also receive same training as part of their job orientation, prior to presence in the classroom. Verification of the training for current staff and future staff shall be reviewed no less than monthly for the duration of the Plan. Proof of review and training related to these areas must be maintained at the facility for evaluation during facility inspections.

LPA conducted facility observation, interviewed staff with regard to the facilities transition processes, reviewed staff training records and the current staff schedule. LPA verified from a sample of children's files that signed form LIC 9224 is present and that the Compliance Plan is visibly posted. Proper ratios and supervision were noted during today's visit. Requested documentation, due by 5/13, was received in a timely manner.

The facility is complying with the Plan and no deficiencies are cited today.

Notice of Site Visit was provided, posted and will 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: 08/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/05/2022
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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