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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600320
Report Date: 04/06/2023
Date Signed: 04/06/2023 05:11:55 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
12/09/2022 and conducted by Evaluator Jennifer Lott
COMPLAINT CONTROL NUMBER: 51-CC-20221209124937
FACILITY NAME:KINDERCARE CUYAMACA INFANTFACILITY NUMBER:
376600320
ADMINISTRATOR:MONICA COLLINSFACILITY TYPE:
830
ADDRESS:9735 CUYAMACA STREETTELEPHONE:
(619) 562-3423
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:32CENSUS: 20DATE:
04/06/2023
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Director, Monica Collins TIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Infant sustained unexplained injury while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer Lott conducted a complaint investigation visit to deliver findings for the above allegation. LPA was greeted at the front of the facility by Director, Monica Collins and was granted entry after identifying herself and disclosing the reason for her visit.

It is alleged that an infant sustained unexplained injuries while in care. On or about 12/06/2022, at approximately 1700 hours, infant #1 and infant #2 were in the classroom waiting for their parents to pick them up from class. During that time, staff became occupied by other tasks, thus turning their attention and backs away from infants #1 & #2. Infant #2, a known biter with teeth, was found laying on top of infant #1 and biting infant #1’s face which included the cheek and chin. As a result of the lack of supervision, Infant #1 sustained facial injuries and a swollen wrist/hand from the incident
Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023
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 3
Control Number 51-CC-20221209124937
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 CUYAMACA INFANT
FACILITY NUMBER: 376600320
VISIT DATE: 04/06/2023
NARRATIVE
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This agency has investigated the complaint alleging infant sustained unexplained injuries while in care. Based on interviews and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are cited per California Code of Regulations, Title 22, Division 6 on the attached 9099D. An exit interview was conducted and report was reviewed with Director, Collins. A notice of site visit was given, and must remain posted for 30 days.

Upon receipt, the Licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. The Licensee shall also have parents complete and sign the Acknowledgement of Receipt of Licensing Report LIC 9224 (08/08). These signed forms will be made available to the Department upon request. LPA provided Director a copy of the LIC 9224.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20221209124937
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 CUYAMACA INFANT
FACILITY NUMBER: 376600320
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/07/2023
Section Cited
CCR
101429(a)(1)
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Responsibility for Providing Care and Supervision for Infants - …”each infant shall be constantly supervised under direct visual observation and supervision by a staff person at all times. This requirement is not met as evidenced by:
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Director states that they will provide a course description and sign in sheet for care and supervision training by POC date via fax or email.
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Based on interviews and record reviews, 2:2 staff’s lack of supervision resulted in facial injuries and swollen wrist/hand to infant #1 by infant #2. This poses an immediate health & safety risk to persons 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: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3