376600349-7-7-2026-10-CC-KGEH-DVRN6Y-20260707101155

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376600349
Report Date: 07/07/2026
Date Signed: 07/07/2026 10:12:15 AM

Document Has Been Signed on 07/07/2026 10:12 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME:	KINDERCARE S. CENTRE CITY PARKWAY SCHOOL AGE		FACILITY NUMBER:	376600349
ADMINISTRATOR/ DIRECTOR:	GRACE PENDERGRASS		FACILITY TYPE:	840
ADDRESS:	2415 S. CENTRE CITY PARKWAY		TELEPHONE:	(760) 745-2474
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92025
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 34	CENSUS: 20	DATE:	07/07/2026
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:41 AM
MET WITH:	Director Grace Pendergrass		TIME VISIT/ INSPECTION COMPLETED:	09:43 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On the above date and time, Licensing Program Analysts (LPA’s) Kelly Gerth and Kelli Waters arrived at the facility on a case management inspection and met with Director Grace Pendergrass. LPA’s explained the reason for the visit, to follow-up on an Unusual Incident Report (UIR) received by Community Care Licensing (CCL) on 06/25/2026. During the visit, LPA’s toured the facility and took census and discussed the details of the reported incident. The UIR stated that on June 17, 2026, during outdoor play, a child was exiting the sandbox, tripped and landed on their elbow. Ice pack was given, the child was monitored and no swelling appeared. The child appeared to have no pain or discomfort and resumed play. An incident report was written by staff, parents were contacted and picked up shortly thereafter. The following day the parent reported the child had been taken for medical assessment and diagnosed with an acute fracture to the area. During the visit, LPAs observed the sandbox in the outdoor activity area where the incident occurred. The sandbox is surrounded by a grassy area and features a ledge around its perimeter. One section of the ledge, approximately one foot in length, is about two inches lower than the rest and is intended to serve as the area for entering and exiting the sandbox. Staff described the area to be where the child tripped as they exited and when landing, had their elbows bent in front of them to cushion their fall versus extending their hands. Staff interviews corroborate that an ice pack was provided and the child did not express pain nor have swelling and wanted to return to play. Approximately 30 minutes later the child’s arm was checked and did not have swelling but the child then expressed discomfort. At that time, the parents were contacted, spoke to the child on the phone and decided to pick up the child. The parent later informed the CCC that after deciding to get medical evaluation, they found that the child did have a fracture and would not be returning for the remainder of the summer program due to limitations put in place by the physician during the child’s recovery period.

NAME OF LICENSING PROGRAM MANAGER: Carlos Martinez
NAME OF LICENSING PROGRAM ANALYST: Kelly Gerth
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/07/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE S. CENTRE CITY PARKWAY SCHOOL AGE	FACILITY NUMBER: 376600349
	VISIT DATE: 07/07/2026

NARRATIVE

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LPA's found that during the incident the CCC took immediate steps to attend to the child, inform the parent(s)/guardian(s) and acted appropriately as a response to the fall. LPA’s also found that the outdoor activity equipment is age appropriate, in good condition and surrounded by a grass area. Therefore, based on the information obtained during the visit, there appears to be no violations of Title 22 Regulations pertaining to the reported incident and LPA’s determined that the facility took the necessary steps to ensure the safety of all children in care.
An exit interview was conducted, a copy of this report and Notice of site visit was provided to Director Grace Pendergrass who was reminded it must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Carlos Martinez
NAME OF LICENSING PROGRAM ANALYST: Kelly Gerth
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/07/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

LIC809 (FAS) - (06/04)

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