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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600332
Report Date: 06/27/2023
Date Signed: 06/27/2023 01:02:12 PM

Document Has Been Signed on 06/27/2023 01:02 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE COLLEGE PRESCHOOLFACILITY NUMBER:
376600332
ADMINISTRATOR:AUNICA DEFALCOFACILITY TYPE:
850
ADDRESS:3536 COLLEGE BLVD.TELEPHONE:
(760) 940-2008
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: DATE:
06/27/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:47 PM
MET WITH:Aunica DefalcoTIME COMPLETED:
01:05 PM
NARRATIVE
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Licensing Program Analyst (LPA), Keely Messerschmidt, made an unannounced Case Management visit on this date to deliver and amended LIC 9099 and include deficiencies cited for complaint investigation (Complaint Control # 10-CC-20230515144240). LPA met with Aunica Defalco, who was informed of the reason for the premise visit.

An exit interview was conducted, and a copy of this report was provided to the Director.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 06/27/2023 01:02 PM - It Cannot Be Edited


Created By: Keely Messerschmidt On 06/26/2023 at 05:19 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE COLLEGE PRESCHOOL
FACILITY NUMBER: 376600332

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/27/2023
Section Cited
CCR
101223(a)(3)

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Personal Rights: (a)The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature
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Director agrees to submit to LPA her Plan of Correction on how she will be assessing these allegations with her staff ensuring they are retrained when it comes to Personal Rights by Friday June 30th, 2023.
Type B
06/27/2023
Section Cited
CCR
101223(a)(1)

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Personal Rights: (a) The licensee shall ensure that each child is accorded the following personal rights:
(1) To be accorded dignity in his/her personal relationships with staff and other persons.



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Director agrees to submit to LPA her Plan of Correction on how she will be assessing these allegations with her staff ensuring they are retrained when it comes to Personal Rights by Friday June 30th, 2023.
Type B
06/27/2023
Section Cited
CCR101229(a)(1)

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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,
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Director agrees to submit to LPA her Plan of Correction on how she will be assessing these allegations with her staff ensuring they are retrained when it comes to Personal Rights by Friday June 30th, 2023.
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except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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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:Carlos Martinez
LICENSING EVALUATOR NAME:Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:
DATE: 06/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/27/2023


LIC809 (FAS) - (06/04)
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