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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600342
Report Date: 03/21/2024
Date Signed: 03/21/2024 09:11:06 AM


Document Has Been Signed on 03/21/2024 09:11 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:KINDERCARE PASEO MONTRIL PRESCHOOLFACILITY NUMBER:
376600342
ADMINISTRATOR:ALMA GANDARILLAFACILITY TYPE:
850
ADDRESS:10065 PASEO MONTRILTELEPHONE:
(858) 484-3232
CITY:SAN DIEGOSTATE: CAZIP CODE:
92129
CAPACITY:84CENSUS: 51DATE:
03/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Ana HernandezTIME COMPLETED:
09:25 AM
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On 3/21/24 at 8:15 am Licensing Program Analyst (LPA), Annette Sutherland , conducted a case management visit for the purpose of following up on a self reported incident that occurred 3/18/24 when a child fell and sustained an injury. Present today were a total of 51 children and 6 staff members.

LPA toured the facility and interviewed Ana Hernadez and other staff members present the day of the incident. Areas observed were the preschool playground to get clarification on what happened and where it occurred. At the time of the incident the program was within staff to child ratio requirements. Since the incident, they continue to remind the children to make safe choices to prevent future incidents.

No deficiencies cited today.

NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Ana Hernandez post notice of site visit.
SUPERVISOR'S NAME: Joelle ReddingTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Annette SutherlandTELEPHONE: (619) 629-8751
LICENSING EVALUATOR SIGNATURE:
DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2024
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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