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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700582
Report Date: 11/18/2022
Date Signed: 11/18/2022 11:52:21 AM


Document Has Been Signed on 11/18/2022 11:52 AM - 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 - INFANTFACILITY NUMBER:
376700582
ADMINISTRATOR:CELIDA BANUELOSFACILITY TYPE:
830
ADDRESS:10623 TREENA STREETTELEPHONE:
(858) 271-4700
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY:45CENSUS: 29DATE:
11/18/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Celida BanuelosTIME COMPLETED:
10:15 AM
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On 11/18/22 at 9:15 AM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced case management inspection at the facility. Upon arrival, LPA Lane met with Director Celida Banuelos and toured the facility. Census was 13 children in the toddler classroom with staff members: Sarah Said, Jazmin Valencia, Sabrina Smith and Nicole Cortes, 8 children in Infant classroom with staff members: Mai Yang and Madeline Rosamercado and 8 children in mobile infant room with staff members: Kenjanai Doucet, Jessica Brown and Dareatha Mays. LPA observed appropriate supervision and ratios during the inspection. During this inspection, LPA interviewed staff members and observed toddlers playing outside on the toddler playground for approximately 30 minutes. Staff members washed the toddlers hands upon entry back into the classroom.

No deficiencies cited. Exit interview conducted and report was reviewed with facility representative Director Celida Banuelos. Notice of site visit was provided and must remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:
DATE: 11/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/18/2022
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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