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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600650
Report Date: 03/02/2023
Date Signed: 03/02/2023 12:19:07 PM


Document Has Been Signed on 03/02/2023 12:19 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 - CARLSBADFACILITY NUMBER:
376600650
ADMINISTRATOR:MELISSA RUIZFACILITY TYPE:
850
ADDRESS:1200 PLUM TREE ROADTELEPHONE:
(760) 435-0001
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY:125CENSUS: 60DATE:
03/02/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Director Melissa RuizTIME COMPLETED:
11:30 AM
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On 3/2/2023 @ 10:55 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.

There are 8 staff present for 60 preschool children today. There have been no new hires since November 7th of last year. An All Staff meeting was conducted on 2/21/23 wherein the Compliance Plan was reviewed.

LPA observed two transitions, verified ratios and supervision were in place, and reviewed staff training records and the current staff schedule (1/23/2023). LPA verified from a sample of children's files that signed form LIC 9224 is present and that the Compliance Plan is visibly posted.

The facility is meeting the requirements of the Compliance Plan. 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: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2023
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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