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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600788
Report Date: 05/28/2021
Date Signed: 05/28/2021 12:20:29 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 LEARNING CENTER - PASEO LADERAFACILITY NUMBER:
376600788
ADMINISTRATOR:ANA KINGFACILITY TYPE:
850
ADDRESS:1101 PASEO LADERATELEPHONE:
(619) 482-1800
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:78CENSUS: 60DATE:
05/28/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Ana KingTIME COMPLETED:
12:30 PM
NARRATIVE
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On 05/28/2021 at 11:30am, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced case management tele-inspection via FaceTime to follow-up on a self reported incident that a staff member tapped children on the head on or about 04/09/2021. LPA met with Director, Ana King. There were 60 children and six (6) staff present during the inspection. Based on interviews with staff and parents and the admission of staff #1 (S#1), the Department determined that on or about 04/09/2021, S#1 flicked the ear and tapped the head of child #1(C#1) as a form of discipline.

Facility was cited a Type A Deficiency during today’s inspection, refer to LIC809D. LPA will provide the following to director via email: LIC809, LIC809D, appeal rights (LIC 9058), Acknowledgment of Receipt of Licensing Reports (LIC9224) and LIC811. LPA informed director, upon receipt, licensing reports citing type A violation shall be posted for 30 days and provided to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for 12 months from today’s date. In addition, LIC9224 must be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility for the next 12 months and kept in each child’s record.

An exit interview was conducted with the director. Director was advised that acknowledgement of receipt of reports is to be received within twenty-four hours.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: KINDERCARE LEARNING CENTER - PASEO LADERA
FACILITY NUMBER: 376600788
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/28/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/28/2021
Section Cited

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101223(a)(3): The licensee shall ensure each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain… including but not limited to; interference with functions of daily living including eating, sleeping…or…physical functioning. This requirement was not met as evidenced by:
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Based on interviews and admission of S#1, the Department determined that on or about 04/09/2021, S#1 flicked the ear and tapped the head of C#1 as a form of discipline. This poses an Immediate Health and Safety risk to the children in care.
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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: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha MalaneTELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:
DATE: 05/28/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/28/2021
LIC809 (FAS) - (06/04)
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