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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600790
Report Date: 08/24/2023
Date Signed: 08/24/2023 12:32:20 PM


Document Has Been Signed on 08/24/2023 12:32 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 LEARNING CENTER - PASEO LADERA, INFANTFACILITY NUMBER:
376600790
ADMINISTRATOR:ANA KINGFACILITY TYPE:
830
ADDRESS:1101 PASEO LADERATELEPHONE:
(619) 482-1800
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:56CENSUS: 59DATE:
08/24/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Ana KingTIME COMPLETED:
12:40 PM
NARRATIVE
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On 8/24/23 at 11:00am, while conducting an required annual inspection, LPA Castellon became aware that the infant license was over capacity by three children. LPA Castellon spoke with facility staff, including Director Ana King. Per LPA Castellon observation and staff admission, the facility is over capacity on this date.

This LIC809 will be used to memorialize the citation. Type A citation issued on this date. Please see LIC809D. LPA conducted an exit interview with Director King and discussed appeal rights. LPA discussed LIC9224 requirements with Director. A copy of the appeal rights was given to director. Director was advised that Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:
DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 08/24/2023 12:32 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 08/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/28/2023
Section Cited
CCR
101179(b)(1)

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101179 Capacity Determination: (b) The number of children for which the child care center is licensed to provide care and supervision shall be determined on the basis of the Department's application review, which shall take into consideration the following: (1) The fire clearance specified in Section 101171.

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Director Ana King states has written a notice advising parents that they must comply by the signed agreement pertaining to child attendance. Parents will sign and date the notice. Director will submit a copy of the signed notice by 8/28/23. Director will not permit the facility to be over capacity.
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specified in Section 101171. This requirement was not met as evidenced by LPA observation and staff admission that the facility is over capacity by three children on this date. This poses a threat to the health and safety of 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: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:
DATE: 08/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2