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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701341
Report Date: 09/13/2019
Date Signed: 09/13/2019 10:52:30 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:DEL MAR HIGHLANDS KINDERCARE INFANTFACILITY NUMBER:
376701341
ADMINISTRATOR:KATRINA WANEMACHERFACILITY TYPE:
830
ADDRESS:3808 TOWNSGATE DRIVETELEPHONE:
(858) 794-7710
CITY:SAN DIEGOSTATE: CAZIP CODE:
92130
CAPACITY:32CENSUS: 22DATE:
09/13/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Johana Gongora, Assist. DirectorTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) D. Sanchez, made an unannounced follow up Case Management inspection to the facility today in response to an Unusual Incident/Injury Report received in the San Diego Child Care Regional Office (SDCCRO) on 8/28/2019. Incident report states that on 8/26/2019, staff #1 was observed changing a diaper at the changing table. She was holding child on the changing table with one hand, while she leans over and grab child #2's arm and used her foot to scoot child away.

During today's inspection, LPA interviewed facility staff, reviewed child's record and inspect the area where the incident occurred.

LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov

Community Care Licensing WEB SITE: http://www.ccld.ca.gov

LPA provided assistant director a copy of the SIDS Safe Sleep printout information, Safe Sleep Regulation Concepts and Lead Exposure brochure.

There are no deficiencies cited during this inspection. An exit interview was conducted with Johana Gongora and a copy of this report left at the facility.

LPA observed Assistant Director placing the Notice of Cite Visit on the wall visible to parents during today’s inspection.
NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana SanchezTELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019
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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