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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600694
Report Date: 09/04/2019
Date Signed: 09/04/2019 05:06:34 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 1648-INFANTFACILITY NUMBER:
376600694
ADMINISTRATOR:LEONE POWERFACILITY TYPE:
830
ADDRESS:6270 FLYING L.C. LANETELEPHONE:
(760) 431-2558
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY:34CENSUS: DATE:
09/04/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
04:10 PM
MET WITH:Director Leone PowerTIME COMPLETED:
04:40 PM
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Licensing Program Analyst, Joelle Redding, made an unannounced visit to follow up on a self reported incident that occurred on 8/28/19 wherein an 18 month old child (Child #1) sustained cuts to the fingers when his fingers got pinched in the door.

LPA spoke with the Director and Staff #1. At the time of the incident, the 8 children were lining up at the door to go outside. Child #1 was closest to the door with his hand on it to help push it open. Staff #1 pushed on the latch to open the door and Child #1's middle and ring finger got pinched in the latch. He sustained cuts to both fingers. First aid was applied, parent was called and he was taken to the doctor where medical glue was applied. He returned to school two days later. Staff #2 who was also present, was out on maternity leave and unable to be interviewed.

Director stated that she has had the door evaluated for safety. There is a finger guard at the opposite side, but nothing can be placed on the side of the door that opens as it would not comply with the fire safety requirements. Staff has been instructed to be extra cautious with the door latches to ensure the incident does not recur.

LPA evaluated the door. The latch disengages when the lever across the door is pushed. It doesn't take much for the latch to re-engage if it isn't held firmly. Supervision and ratios were met at the time of the incident. Staff responded appropriately and the facility reported timely.

No deficiencies are cited.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019
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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