376700582-11-3-2020-51-CC-SSIO-BUZVEZ-20201103152310

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700582
Report Date: 10/29/2020
Date Signed: 11/03/2020 03:23:30 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 - INFANT		FACILITY NUMBER:	376700582
ADMINISTRATOR:	CELIDA BANUELOS		FACILITY TYPE:	830
ADDRESS:	10623 TREENA STREET		TELEPHONE:	(858) 271-4700
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92131
CAPACITY:	45	CENSUS: 1	DATE:	10/29/2020
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Celida Banuelos		TIME COMPLETED:	12:55 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On October 29, 2020 at 11:30 a.m., Licensing Program Analyst (LPA) Selina Siao, conducted a virtual inspection via Face Time with the Director Celida Banuelos. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children prior to granting a temporary waiver for the facility to care for school age children by using the existing toddler room in their infant program due to COVID-19. The fire clearance was granted for the toddler room on 12/13/2019. The facility will operate Monday thru Friday from 6:30 a.m. to 6:00 p.m. and will serve 14 school age children ages Kindergarten thru 16 years old in the school age room. School age children will be sharing the outdoor areas with the preschool children by scheduling. Director understands that the school age children must be separated with the other age group to ensure safety. Check-in will take place at the front door. If child(ren) become ill during the day, they will rest in the Director's office. The restroom located outside will be use when children are sick. Children’s authorized representative will be contacted immediately for pick up. Department of Public Health will be contacted in regards to any COVID-19 illness. Children will stay with the same group as assigned and will not be moved from one group to the other. Age appropriate furniture including tables and chairs and are present in the room to meet the needs of children in care. All meals are provided by the facility and served by staff using gloves and masks. Individual water bottles will be used by the children. The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often when necessary following the facility’s cleaning and sanitation policies and guidelines.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2020

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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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: 10/29/2020

NARRATIVE

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Director will contact the Regional Office to notify of the opening date once the waiver is granted. Health check on staff and children will be conducted each day upon staff and children’s arrival. Director will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility. Facility will be notified when the waiver is granted and can begin operation at that time.

Please feel free to contact the San Diego North Child Care Office at (619)767-2248 for questions.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2020

LIC809 (FAS) - (06/04)

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