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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600323
Report Date: 10/22/2019
Date Signed: 10/22/2019 02:12:59 PM

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:THELMA AVILEZFACILITY TYPE:
830
ADDRESS:7007 GOLFCREST DRIVETELEPHONE:
(619) 461-5771
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY:32CENSUS: DATE:
10/22/2019
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Laura AllenTIME COMPLETED:
02:15 PM
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An office meeting was held on this date to review the terms of Stipulation and Waiver; Order, effective 8/8/18 thru 8/7/2021, and the restrictions of the Probationary license. In addition to reviewing the stipulation, the department would like to discuss recent violations that were issued.

In attendance during the meeting were: Regional Manager, Kimberly Hall, Licensing Program Manager, Monica Cuddy, Licensing Program Analyst, Tyra Block, Assistant Director, Sonia Gallarzo (Acting Director), Kindercare District Leader, Laura Allen, and Quality Assurance, Kim Kluge.

The stipulation discussed included the following:
1) Ratios during nap and awake time;
2) Staffing;
3) Supervision to include supervisory monitoring; and
4) Training.

Facility representatives were provided a copy of the Stipulation and Waiver and Order. Stipulation was discussed in depth during meeting. At the conclusion of the meeting, facility representatives stated their understanding of the stipulation and requested a referral to TSP. .
SUPERVISOR'S NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2019
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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