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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600696
Report Date: 11/18/2020
Date Signed: 11/18/2020 03:13:05 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/22/2020 and conducted by Evaluator Grace Curtis
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20200922110142
FACILITY NAME:KINDERCARE - CARLSBAD 1648FACILITY NUMBER:
376600696
ADMINISTRATOR:LEONE POWERFACILITY TYPE:
850
ADDRESS:6270 FLYING LEO CARRILLO LANETELEPHONE:
(760) 431-2558
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY:97CENSUS: 70DATE:
11/18/2020
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Leone PowerTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Neglect resulting in child sustaining multiple bug bites.
Daycare child sustained unexplained injury while in care.
Facility staff did not provide an adequate amount of water for daycare child.
INVESTIGATION FINDINGS:
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Covid-19 State of Emergency
On November 18, 2020 at 11:10 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced inspection via Zoom to deliver the findings on the complaint allegations referenced above. Upon arrival LPA met with Director Leone Power and proceeded to tour the facility. There were 70 children present with 8 staff members. Appropriate ratios were observed. Staff members have the required background clearances and are associated to the facility.

The initial complaint investigation was conducted by LPA Curtis on 9/29/20. Throughout the course of investigation interviews were conducted with the complainant, several employees and several parents. Facility records and photographs were obtained and reviewed. Based on the information obtained the above allegations are deemed unsubstantiated which means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiencies are cited.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 51-CC-20200922110142
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 1648
FACILITY NUMBER: 376600696
VISIT DATE: 11/18/2020
NARRATIVE
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An exit interview was conducted with the Director. Appeal rights (LIC 9058 1/16) were discussed. A copy of this report as well as a copy of the appeal rights were emailed to the Director at the conclusion of the inspection. The Director will confirm receipt of this report via e-mail and the reply of confirmation will serve as the signature acknowledging these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/22/2020 and conducted by Evaluator Grace Curtis
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20200922110142

FACILITY NAME:KINDERCARE - CARLSBAD 1648FACILITY NUMBER:
376600696
ADMINISTRATOR:LEONE POWERFACILITY TYPE:
850
ADDRESS:6270 FLYING LEO CARRILLO LANETELEPHONE:
(760) 431-2558
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY:97CENSUS: 70DATE:
11/18/2020
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Leone PowerTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Facility staff did not report incident.
Facility staff did not observe a daycare child.
INVESTIGATION FINDINGS:
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Covid-19 State of Emergency
On November 18, 2020 at 11:10 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced inspection via Zoom to deliver the findings on the complaint allegations referenced above. Upon arrival LPA met with Director Leone Power and proceeded to tour the facility. There were 70 children present with 8 staff members. Appropriate ratios were observed. Staff members have the required background clearances and are associated to the facility.

The initial complaint investigation was conducted by LPA Curtis on 9/29/20. Throughout the course of investigation, interviews were conducted with the complainant, several employees and several parents. Facility records and photographs were obtained and reviewed. The information gathered indicates the facility failed to report an incident of a child falling and obtaining an injury on 6/18/20 nor was there a written report documenting a rash/bug bite. A third incident that occurred on 9/9/20 was not documented until 9/17/20. The facility also failed to observe illness and/or cleanliness of a day care child on 7/30/20.

Based on interviews conducted by LPA, record reviews and photographs the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED, California Code of Regulations, Title 22, 101226(a)(2) and 101226.3 are being cited on the attached LIC 9099D
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 51-CC-20200922110142
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 1648
FACILITY NUMBER: 376600696
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/18/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/11/2020
Section Cited
CCR
101226(a)(2)
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Health Related Services: (a)The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury...(2)In the case of less serious injuries including, but not limited to, minor cuts, scratches and bites from other children requiring assessment and/or administration of first aid by staff, the licensee shall document the injury in the child's record...This requirement was not met as evidenced by:
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The Director states that she will conduct a meeting to train staff on proper documentation procedures for injuries/incidents. The Director will send LPA a copy of the meeting agenda and staff sign in sheet via email by 12/11/20.
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Based on interviews and record review conducted by LPA staff did not ensure that injuries sustained by a daycare child were documented timely in the child's record. This poses a potential health and safety risk to children in care.
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Type B
12/11/2020
Section Cited
CCR
101226.3(b)
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Observation of the Child: Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record. This requirement was not met as evidenced by:
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The Director states that she will conduct a meeting to train staff on how to observe and then document the observations of the children in care. The Director will send a copy of the meeting agenda and staff sign in sheet via email by 12/11/20.
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Based on interviews and facility record review conducted by LPA staff did not ensure that a daycare child was observed for signs of illness. This poses a potential health and safety risk for children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2020
LIC9099 (FAS) - (06/04)
Page: 4 of 4