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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600948
Report Date: 06/28/2019
Date Signed: 06/28/2019 11:07:44 AM

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-EASTLAKE INFANTFACILITY NUMBER:
376600948
ADMINISTRATOR:SUMMER MEDINAFACILITY TYPE:
830
ADDRESS:2354 FENTON STREETTELEPHONE:
6196569853
CITY:CHULA VISTASTATE: CAZIP CODE:
91914
CAPACITY:36CENSUS: 12DATE:
06/28/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Summer MedinaTIME COMPLETED:
10:00 AM
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LPA Armando Locano completed an unannounced case management site inspection today regarding a self-reported incident, where a 1 yr and 7 month old child in care (child # 1 confidential names list) suffered a seizure while in care. Firs aid procedures were properly followed emergency services were called, parents were immediately notified and and child was provided medical attention and treated promptly and properly.

LPA met with facility director Summer Medina, discussed the incident and procedures followed. LPA spoke to teachers and confirmed the child was being properly supervised and facility took appropriate steps in providing first aide, contacting emergency services, contacting parents and ensuring child was medically treated promptly and properly.

Per review of all information, there is no evidence of lack of supervision, or inappropriate procedures followed. Staff took appropriate steps in aiding the child, calling emergency services and contacting the parents. Based on review of all information, it has been determined facility took appropriate action in aiding the child and no violations are issued to the facility regarding this issue.

LPA provided copy of LIC 9213, “Notice of Site Visit,” and observed director posting notice during visit.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Armando LocanoTELEPHONE: (619) 767-2221
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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