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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700582
Report Date: 12/11/2019
Date Signed: 12/11/2019 02:18:03 PM

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-INFANTFACILITY NUMBER:
376700582
ADMINISTRATOR:CELIDA BANUELOSFACILITY TYPE:
830
ADDRESS:10623 TREENA STREETTELEPHONE:
(858) 271-4700
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY:28CENSUS: 13DATE:
12/11/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Celida BanuelosTIME COMPLETED:
02:25 PM
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(3) Licensing Program Analysts (LPA) Selina Siao conduct an unannounced annual inspection. Upon arrival, LPA met with Director Celida Banuelos and proceeded to tour the facility. The following ratios were observed: Toddler classroom (mobile infants) had 6 children supervised teacher Jazmin Valencia and teacher aide Tracy Fischer. There were 7 older infants at the small playground supervised by teacher Ganga Kamineni and teacher aide Cambria Ahrennl. The infant Room had 7 infants supervised by teacher Mai Yang and teacher aide Maria Barchi. Appropriate visual supervision was observed.

Furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation and drinking water is available for the children. Storage cubbies are readily available, and room accommodates class size. Napping equipment consists of cribs for young infants and cots for the older infants. The changing table is located next to the sink. Food service area consists of a kitchen which is clean and free of hazards. Menu is posted. Cleaning supplies are kept out of reach of children. Outdoor play area is a fenced playground with rubber chip as cushioning. Area has a tarp and shade canopy used for shade. Equipment is age appropriate for the children in care. LPA reviewed sign in sheets, first aid supplies and reviewed medication policy and storage, all areas are within compliance. Isolation area is the Director's office. Personnel and client records were reviewed. There is an updated needs and service plan in the infants files. Reporting requirements was also reviewed and all staff members completed the required mandated online child abuse training and have the required immunizations. All personnel have required criminal record and child abuse index clearances or exemptions. Facility has numerous staff members with a valid EMSA approved CPR/FA certificates. LPA reviewed Emergency Disaster Plan and last fire drill was conducted on Oct/2019. Facility has an operating carbon monoxide detector.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
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
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-INFANT
FACILITY NUMBER: 376700582
VISIT DATE: 12/11/2019
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Licensee representative was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. Licensee was provided with information about Heat Related Illness, Sudden Infant Death Syndrome (SIDS), Never Shake a Baby, Safe sleep for infants, best practice on supervision and reporting responsibilities were discussed. The ABC’S of Safe Sleep: Sleep is Safest: Alone, on their Back in an empty Crib on a firm mattress.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at www.ccld.ca.gov. LPA discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Facility representative submitted an application to request to increase the infant capacity from 28 to 45 by adding the previous licensed school age classroom to be a room for older infants. LPA Siao measured the classroom today and it measured to be 662.97 which is sufficient to care for up to 18 infants. There are 3 sinks total available for the infant program. An updated application will be submitted to Licensing signed by the licensee representative within 10 days. A fire clearance is required pending the approval of the capacity increase.

Facility appears to be in substantial compliance during today's inspection.

A notice of site visit was provided and to be posted at the facility for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2