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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600321
Report Date: 11/15/2024
Date Signed: 11/15/2024 03:25:31 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
10/28/2024 and conducted by Evaluator Patrick Ma
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20241028160811
FACILITY NAME:KINDERCARE GOLFCREST PRESCHOOLFACILITY NUMBER:
376600321
ADMINISTRATOR:DAPHNE LANDAFACILITY TYPE:
850
ADDRESS:7007 GOLFCREST DRIVETELEPHONE:
(619) 461-5771
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY:117CENSUS: 68DATE:
11/15/2024
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Karina Hoffman and Lauren GreenfieldTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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On 11/15/24 at 2:10pm, LPA Patrick Ma made an unannounced visit for the complaint received on 10/28/24 for the purpose of delivering findings on the above referenced allegation. Upon entry, LPA met with Director Karina Hoffman and Assistant Director, Lauren Greenfield to explained purpose of the visit.

Based on investigation interviews and relevant documents reviewed it is determined that child C1 sustained an unexplained injury at the facility on 10/24/24, between 5:06 – 5:39pm, due to a lack of supervision. Investigation interviews determine staff S1 observed the child without injury at 5:06pm but observed the child with injury by the time the child was picked up. Staff was not aware of what occurred to cause the injury or specifically when it occurred. Parent brought the injury to the attention of staff at pick up. Child was alleged to have multiple unexplained injuries at the center but only the above injury could be corroborated. Another injury on C1 that occurred the same day could be corroborated it occurred at the center, but it could not be determined that it was due to a lack of supervision.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024
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-20241028160811
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 GOLFCREST PRESCHOOL
FACILITY NUMBER: 376600321
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/18/2024
Section Cited
CCR
101229(a)(1)
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101229(a)(1) Responsibility for Providing Care and Supervision: (1) No child(ren) shall be left without the supervision of a teacher at any time…Supervision shall include visual observation. This requirement was not met as evidenced by:
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Director stated she will review CDSS Child Care Licensing Providers Resource instructional video: https://ccld.childcarevideos.org/child-care-center-operators/ Supervising Children in Child Care Centers and provide a written summary of the videos to the Department by 11/18/24
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Based on investigation interviews and relevant documents reviewed it is determined that child C1 sustained an unexplained injury at the facility on 10/24/24, due to a lack of supervision. Investigation interviews determine staff S1 observed the child without injury at 5:06pm but observed the child with injury by the time the child was picked up which poses/posed an immediate health, safety or personal rights risk to children in care.
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and have the staff review the video by 11/20/24 and provide the Department proof with sign-in sheet they reviewed video.

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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: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20241028160811
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 GOLFCREST PRESCHOOL
FACILITY NUMBER: 376600321
VISIT DATE: 11/15/2024
NARRATIVE
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*****THIS IS AN AMENDED DOCUMENT DELIVERED ON 11/20/24*****

The allegation is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, Chapter 1) the deficiency is being cited on the attached LIC 9099D.

LPA Ma informed facility representatives Karina Hoffman and Lauren Greenfield that this report dated 11/15/24 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Ma informed the facility representatives to provide a copy of this licensing report dated 11/15/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with facility representatives Karina Hoffman and Lauren Greenfield. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3