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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600790
Report Date: 09/18/2023
Date Signed: 09/18/2023 01:01:00 PM


Document Has Been Signed on 09/18/2023 01:01 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: 49DATE:
09/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Ana KingTIME COMPLETED:
01:00 PM
NARRATIVE
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On 9/18/23, at 11:30am Licensing Program Analyst (LPA), Adrian Castellon conducted an unannounced Case Management Inspection due to an incident with child #1 and child #2. On 09/11/2023, the Department received the incident report from the facility for child #1. The facility submitted an Unusual Incident Report via email to our Agency on 09/11/2023.

During today's case management inspection, LPA met with director Ana King and two facility staff members David Fernandez and Melissa Espinoza. Present during today's inspection were 49 children in care.

The facility self reported on 9/11/2023 that child #1 was given a bottle of breast milk that did not pertain to child #1. Child #1 drank the bottle. LPA interviewed director and two teachers regarding the incident. Parents of both children was notified of the incident via telephone call on the same day of the incident. Per interviews conducted and staff admission, child #1 was fed a bottle of breast milk that belonged to child #2.

Incident was reported in a timely manner to the licensing office. Bottles are properly labeled. "ONE TOUCH" bottle feeding process in place (not followed). Feeding logs are properly maintained.

One type B deficiencies were issued during today's visit. LPA conducted an exit interview with the licensee. Appeal rights were given and discussed with director.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:
DATE: 09/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/18/2023
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 09/18/2023 01:01 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: 09/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/18/2023
Section Cited
CCR
101223(a)(2)

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101223 Personal Rights: (a) The licensee shall ensure that each child is accorded the following personal rights: (2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as
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Staff who gave child the wrong bottle was suspened and and placed on probation. Staff was given bottle feeding process training to review. "One Touch" bottle process already in place. Bottles are properly labeled. Feeding logs are maintained.
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evidenced by the facility staff feeding a bottle of breast milk to the wrong child in care. This may pose 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: 09/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/18/2023
LIC809 (FAS) - (06/04)
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