376600790-6-27-2022-20-CC-CGRY-CGCP7Z-20220715110443

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600790
Report Date: 06/17/2022
Date Signed: 06/27/2022 07:22:30 AM

Substantiated

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
03/22/2022 and conducted by Evaluator Adrian Castellon

COMPLAINT CONTROL NUMBER: 20-CC-20220322102705

FACILITY NAME:	KINDERCARE LEARNING CENTER - PASEO LADERA, INFANT		FACILITY NUMBER:	376600790
ADMINISTRATOR:	ANA KING		FACILITY TYPE:	830
ADDRESS:	1101 PASEO LADERA		TELEPHONE:	(619) 482-1800
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	56	CENSUS: 36	DATE:	06/17/2022
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Ana King		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Child was injured while in care

INVESTIGATION FINDINGS:

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On 06/17/22 at 1:30pm, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced inspection to deliver complaint findings for the above allegation. LPA Castellon met with director Ana King and discussed the purpose of the inspection. It was alleged that a day-care chid was injured while in care. During the course of the investigation, three unannounced inspections were conducted. Interviews were conducted with day-care parents and facility staff. Documents (diaper change daily reports, feeding daily reports, texts, incident reports, emails, texts, and roster) were obtained pertaining to the allegations.

Based on the staff admission and interviews conducted, the allegation is substantiated. Child in care was injured due to a lack of supervision. Child fell out a feeding chair while being fed. As such, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Violations of the California Code of Regulations, Tittle 22, are being cited on the attached LIC9099D. Final findings delivered as substantiated, a type ‘A’ violation is being issued, as the situation is an immediate risk to children in care. Appeal rights discussed and given on this date. LIC 9224 requirement was discussed on this date. LIC9224 was given to director King.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2022

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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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
03/22/2022 and conducted by Evaluator Adrian Castellon

COMPLAINT CONTROL NUMBER: 20-CC-20220322102705

FACILITY NAME:	KINDERCARE LEARNING CENTER - PASEO LADERA, INFANT		FACILITY NUMBER:	376600790
ADMINISTRATOR:	ANA KING		FACILITY TYPE:	830
ADDRESS:	1101 PASEO LADERA		TELEPHONE:	(619) 482-1800
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	56	CENSUS: 36	DATE:	06/17/2022
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Ana King		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff not providing adequate supervision.
Staff did not notify authorized representative of incident.
*Staff did not maintain equipment (high chair) in good repair
*Staff forged the incident report regarding child's fall
*Staff does not meet child's diapering needs in a timely manner
*Staff does not ensure that children are fed in a timely manner

INVESTIGATION FINDINGS:

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On 06/17/22 at 1:30pm, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced inspection to deliver complaint findings for the above allegations. LPA Castellon met with licensee Ana King and discussed the purpose of the inspection. During the course of the investigation, three unannounced inspections were conducted. Interviews were conducted with day-care parents and facility staff. Documents (diaper change daily reports, feeding daily reports, texts, incident reports, emails, texts, and roster) were obtained pertaining to the allegations. Due to conflicting statements obtained during the course of the investigation, the above allegation is deemed to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged allegation occurred. A copy of today's report, Notice of Site Visit and appeals rights given to the licensee. An exit interview was conducted with facility director and she stated that she understood. Licensee were advised acknowledgement of receipt of the report is to be received via email. Notice of Site Visit should be posted for 30 days from today's date.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2022

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-20220322102705

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, INFANT	FACILITY NUMBER: 376600790
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/17/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/24/2022 Section Cited CCR 101249(a)(1)	1 2 3 4 5 6 7	101429(a)(1):Responsibility for Providing Care and Supervision for Infants: (a) In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.	1 2 3 4 5 6 7	Director King will discuss regulation 101429(a)(1) via email memo and staff will acknowledge will receipt. Director King and staff will ensure that during feeding, infants will be placed up against the table or staff will be close enough to child to prevent child from falling out of chair.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by child in care falling out of feeding chair while being fed by a staff member. Staff admitted to this occurring. This poses an immediatel health and safety risk to clients 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: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2022

LIC9099 (FAS) - (06/04)

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