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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600362
Report Date: 03/20/2024
Date Signed: 03/20/2024 11:43:09 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/18/2024 and conducted by Evaluator Nancy Diaz
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20240318151517
FACILITY NAME:KINDERCARE AGEE INFANTFACILITY NUMBER:
376600362
ADMINISTRATOR:JEMIMA GREYFACILITY TYPE:
830
ADDRESS:6150 AGEE STREETTELEPHONE:
(858) 453-7530
CITY:SAN DIEGOSTATE: CAZIP CODE:
92122
CAPACITY:32CENSUS: 16DATE:
03/20/2024
UNANNOUNCEDTIME BEGAN:
09:11 AM
MET WITH:Jemima GreyTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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1. Staff did not report an incident involving a day care child.
INVESTIGATION FINDINGS:
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On 3/20/2024 @ 9:10AM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced inspection in reference to the above allegations. Observed present were 16 infants with appropriate staff-infant ratio. LPA toured the classrooms with Madeline Howerton (Ass't). Site Director Jemima Grey arrived at 9:10AM. LPA interviewed the director, assistant director and 3 staff in the infant room. There was an incident that happened in November wherein a parent walked in the classroom and observed an aide supervising 6 infants. The fully qualified teacher had to use the restroom. The infant room was out of ratio for a few minutes. This was corrected when the fully qualified teacher returned to her post. Director was aware this happened and failed to report to the department.
Based on LPA interviews and record review conducted, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D. Exit interview conducted and report was reviewed with the Director. A notice of site visit was given and must remain posted for 30 days. Appeal rights were also provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 51-CC-20240318151517
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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 AGEE INFANT
FACILITY NUMBER: 376600362
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/20/2024
Section Cited
CCR
101212(d)
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REPORTING REQUIREMENTS.
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day...
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Director stated that she was not aware that this was reportable as it was corrected immediately. She submitted an Unusual Incident today. She also submitted a statement indicating that all unusual incidents will be reported to the department timely.
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THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY:
Site Director failed to report an incident involving an Aide who was left to supervise 6 children in the classroom. Fully qualified teacher had to use the restroom and was unable to find coverage.
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Type B
03/20/2024
Section Cited
CCR
101416.5(b)
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STAFF-INFANT RATIO.
There shall be a ratio of one teacher for every four infants in attendance.

THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY:
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This was corrected immediately when fully qualified teacher returned from the restroom.
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An aide was left to supervised 6 infants (this happened sometime in November). Staff did not remember the exact date.
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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.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2