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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701275
Report Date: 03/10/2023
Date Signed: 08/09/2023 03:02:48 PM


Document Has Been Signed on 08/09/2023 03:02 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 08/09/2023 02:38 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

NARRATIVE
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On 03/10/2023 at 11:15 AM.,Licensing Program Analyst (LPA) Edgar Campana conducted an unannounced Case Management inspection to discuss a concern which was noted while investigating a complaint made against the facility. LPA met with Director, Aimee Boiri. The facility was toured and census was taken.

On 09/26/22, a newly enrolled daycare child was not able to be fed during the time they were in care at facility. Staff made several attempts to feed infant, and made continuous updates to an internet communication application/tool.

LPA and director discussed methods which facility would employ to communicate with parents for any similar situations in the future. No deficiency cited.

Exit interview conducted and report was reviewed with director, Aimee Boiri. A copy of this report, along with Appeal Rights (LIC9058), were provided. A Notice of Site Visit was given and must remain posted for 30 days. LPA observed that the Notice of Site Visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

*This is an amended version of a report originally created on 03/10/2023. This report was signed by facility representative, Veronica Garciamolinero*
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/09/2023
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 03/10/2023 11:36 AM - 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: KIDS DEPOT OF OTAY RANCH
FACILITY NUMBER: 376701275

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/10/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
03/24/2023
Section Cited
CCR
101173(d)

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Plan of Operation – 101173(d). The child care center shall operate in accordance with the terms specified in the plan of operation.

This requirement was not met as evidenced by:
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Recommendation that the facility/staff are re-educated and review training on all methods of communication, when and under what circumstances to contact/notify an infant’s/child’s parents (authorized representative/s) about issues/conditions that have the potential to negatively affect the infant’s/child’s health.
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The facility failed to contact/inform the infant’s authorized representative/s about a potential health condition that may have negatively impacted the infant relevant to regulations related to the facility’s Health Policy noted in the Parent’s Handbook, which is a potetntial risk 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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Edgar CampanaTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:
DATE: 03/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2023
LIC809 (FAS) - (06/04)
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