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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372005821
Report Date: 05/03/2023
Date Signed: 05/03/2023 12:10:57 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/02/2023 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20230502144534
FACILITY NAME:KINDERCARE LEARNING CENTER - TREENAFACILITY NUMBER:
372005821
ADMINISTRATOR:CELIDA BANUELOSFACILITY TYPE:
850
ADDRESS:10623 TREENA STREETTELEPHONE:
(858) 271-4700
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY:72CENSUS: DATE:
05/03/2023
UNANNOUNCEDTIME BEGAN:
08:47 AM
MET WITH:Sandra GomezTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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1. Staff do not properly supervise day-care children
2. Staff did not report all incidents to appropriate parties



INVESTIGATION FINDINGS:
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On 5/1/23 at 8:47AM Licensing Program Analyst (LPA) Annette Sutherland conducted an unannounced complaint inspection regarding the above allegations. Upon arrival LPA met with Assistant Director Sandra Gomez. There were 47 children and 7 staff members present . Based upon staff interviews, files reviews and documents received the above allegations are substantiated. Investigation conducted found that on 3/31/23 Child (C1) was found by another staff member in the hallway 4-5 minutes later and taken to the Assistant Director. This incident was self reported to the licensing department. Facility had another incident in March where a Child (C2) was possibly left unattended. Director spoke with Child (C2)'s parent but this incident was not reported to Licensing and incident report was not received within 7 days. There is enough supporting information that the above allegations are substantiated. Exit interview conducted and report was reviewed with Ms. Sandra . Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal rights were provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 51-CC-20230502144534
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 - TREENA
FACILITY NUMBER: 372005821
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/03/2023
Section Cited
CCR
101229(a)(1)
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101229(a)(1) Responsibility for Providing Care and Supervision: (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by:
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The Assistant director stated that she conducted a staff meeting to train all staff on proper supervision and transitions. The Assistant director has provided LPA with a copy of the meeting agenda and staff sign in sheets or staff acknowledgements that was taken on 4/11/23 .
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Based on information received by Assistant Director , Child #1 was in the hallway riding a scooter without supervision, for a period of approximately 4-5 minutes before being found by staff member and taken to the assistant director. This poses a potential health and safety risk to children in care.
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Type B
05/03/2023
Section Cited
CCR
101212(d)
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(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. This requirement is not met as evidenced by:
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Assistant Director will provide an unusual incident report for other incident that occurred in March where child was possibly left unattended. She will ensure that in the future incidents are reported on the duty line (619)767-2248 within 24 hours and will submit an incident report by email to SDIncidentReports@dss.ca.gov or by Fax at (619 767-2203 within 7 days of occurring. Assistant Director will also provide written statement explaining that she will submit future reports per the required time frames.
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This requirement was not met as evidenced by the department did not receive an incident call within 24 hours and di not recieve a report within 7 days .
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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.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC9099 (FAS) - (06/04)
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