376600789-9-20-2019-20-CC-JGAY-BGJMZF-20191001100303

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600789
Report Date: 07/24/2019
Date Signed: 09/20/2019 04:03:32 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
07/17/2019 and conducted by Evaluator Diana Sanchez

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20190717100916

FACILITY NAME:	KINDERCARE LEARNING CENTER - PASEO LADERA, SAP		FACILITY NUMBER:	376600789
ADMINISTRATOR:	ANA KING		FACILITY TYPE:	840
ADDRESS:	1101 PASEO LADERA		TELEPHONE:	(619) 482-1800
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	28	CENSUS: 0	DATE:	07/24/2019
		UNANNOUNCED	TIME BEGAN:	07:45 AM
MET WITH:	Ana King, Director		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Staff failed to ensure child had asthma medication available while on a field trip.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Diana Sanchez, made an unannounced complaint inspection to the facility today. LPA met with facility Director Ana King and made her aware of the reason for today’s inspection.

It was alleged that facility staff failed to take a child's asthma medication to a field trip.
LPA reviewed child's record and interview facility staff. It is noted in the child's record that child has asthma and listed the inhaler medication needed. Director stated that staff in charged on 7/09/2019, forgot to take child's medication to the field trip until child's parent reminded them.

Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1), are being cited on the attached LIC 9099D.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 20-CC-20190717100916

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 LEARNING CENTER - PASEO LADERA, SAP	FACILITY NUMBER: 376600789
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/24/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/26/2019 Section Cited CCR 101173(d)	1 2 3 4 5 6 7	Plan of Operation - The child care center shall operate in accordance with the terms specified in the plan of operation. This requirement was not met as evidenced by: Based on record review and staff interviews,	1 2 3 4 5 6 7	Director Ana King stated that she will ensure the management team members will always check children's medication before leaving for a field trips. Ana will send a written Plan of Correction to the San Diego Child Care Regional Office.
	8 9 10 11 12 13 14	On 7/09/2019, Staff failed to take child's inhaled medication to a field trip, which does not comply with facility IMS plan. This poses a potential risk to the health and safety of the children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019

LIC9099 (FAS) - (06/04)

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Control Number 20-CC-20190717100916

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 LEARNING CENTER - PASEO LADERA, SAP	FACILITY NUMBER: 376600789
	VISIT DATE: 07/24/2019

NARRATIVE

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An exit interview was conducted with Ana King and a copy of this report and LIC-9099D left at the facility as well as appeal rights. During the course of this evaluation, LPA advised Ana that all request for extensions of any citations/Proof of Corrections (POCs) must be made within 10 days to the issuing LPA on or before the date the POC is due. Appeals to citations must be made within 15 days in writing to the issuing LPA's supervisor on or before the date the POC is due.

NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019

LIC9099 (FAS) - (06/04)

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