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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600323
Report Date: 07/29/2021
Date Signed: 07/29/2021 01:12:23 PM

Document Has Been Signed on 07/29/2021 01:12 PM - It Cannot Be Edited

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:KINDERCARE GOLFCREST INFANTFACILITY NUMBER:
376600323
ADMINISTRATOR:MICHELLE MELTONFACILITY TYPE:
830
ADDRESS:7007 GOLFCREST DRIVETELEPHONE:
(619) 461-5771
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY: 32TOTAL ENROLLED CHILDREN: 0CENSUS: 14DATE:
07/29/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director Michelle Melton and Assistant Director Katrina HoffmanTIME COMPLETED:
11:00 AM
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On 7/29/21 at 10:00 a.m., Licensing Program Analysts, Joelle Redding and Tyra Block, met with Director and Assistant Director for the purpose of an unannounced annual inspection. There were 7 infants with two teachers in Room 11 and 7 older infants/toddlers with a teacher and an Aide in Room #10. Facility is within ratio and capacity. Program operates Monday thru Friday from 7 a.m. to 5:30 p.m.

LPAs toured the rooms. The furniture, books, games and toys are safe, age-appropriate and in good repair. Rooms were a comfortable temperature during this visit. No hazards were noted. All foods/beverages are labeled/dated and stored per regulation in the infant room refrigerator. Food service area for older infants consists of a kitchen which is clean and free of hazards, with food stored in covered containers at 45 degrees or less and the menu is posted. Infant bedding/napping equipment is sufficient and meets regulatory requirements. The outdoor activity space is separate from other programs with age appropriate play equipment. Hand washing and toileting areas are in a safe, sanitary and operating condition. All storage containers or trash cans containing solid waste have tight fitting lids and are in good repair. Infant changing tables have padded, washable vinyl at least one inch thick with sides raised at least 3 inches, per regulation and are within arm’s reach of a sink. Infant Needs and Services were on file for all infants. There is several staff present with current CPR and First Aid certification. Medications are kept in the office or in the classroom, inaccessible to children. There is no evidence of rodent or insect activity. The carbon monoxide detector is operational. Children are evaluated for illness prior to entry and throughout the day. Isolation area is the front office.

LPA reviewed electronic sign in/out (paper back up available), a sample of personnel records for educational qualifications and a sample of children's records for emergency information and medical assessments. SB 792 (staff immunizations) and AB 1207 (Mandated Reporter Training) requirements have been met. Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the

SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2021
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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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: KINDERCARE GOLFCREST INFANT
FACILITY NUMBER: 376600323
VISIT DATE: 07/29/2021
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following website: www.mandatedreporterca.com. Safe Sleep regulation was discussed to include procedures and forms. Facility has met the requirements. Sleep checks are logged on an ipad with 15 minute alarms.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Services are not in place today

Facility is reminded to continue to adhere to the requirements of the Stipulation dated 6/2/2021, including ratios and documentation.

Licensee is signed up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov.

No deficiencies are cited.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021
LIC809 (FAS) - (06/04)
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