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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600788
Report Date: 10/29/2024
Date Signed: 10/29/2024 02:31:45 PM

Document Has Been Signed on 10/29/2024 02:31 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:KINDERCARE LEARNING CENTER - PASEO LADERAFACILITY NUMBER:
376600788
ADMINISTRATOR/
DIRECTOR:		ANA KINGFACILITY TYPE:
850
ADDRESS:1101 PASEO LADERATELEPHONE:
(619) 482-1800
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 78TOTAL ENROLLED CHILDREN: 75CENSUS: 64DATE:
10/29/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:16 PM
MET WITH:Ana KingTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
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On 10/29/2024, at 1:16pm., Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection during another inspection at the facility. LPA met with Director, Ana King. LPA discussed the purpose of the inspection and was led on a tour of the facility. There were 64 children present with seven (7) staff members.

During the inspection, LPA observed Staff 1 (S1) in Preschool 1 (classroom 9) with two teachers and 20 children. Per Director, S1 has been employed at the facility since 8/12/2024 and does not have a criminal record clearance. S1 was removed from the classroom and left the premises during the time of inspection.

Based on interviews and record review, one (1) Type A deficiency of California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 809D. A $500 Civil Penalty was issued.

LPA informed Director, Ana King that this report dated 10/29/2024 documents one (1) Type A citation, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA informed Director, Ana King to provide a copy of this licensing report dated 10/29/2024 that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. LPA provided Director, Ana King with form LIC 9224.

Exit interview was conducted with Director, Ana King and Appeal Rights were provided. A Notice of Site Visit (LIC 9213) was provided and shall be posted for thirty (30) days from today’s date.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/29/2024
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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Document Has Been Signed on 10/29/2024 02:31 PM - It Cannot Be Edited


Created By: Vicky Williamson On 10/29/2024 at 01:40 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
, 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: 10/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/30/2024
Section Cited
CCR
101170(e)(1)

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(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, ...in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department ...
This requirement is not met as evidenced by:
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Director stated that S1 has completed the fingerprint submission. Director was advised to follow up with the Guardian system and provide proof of status and clearance to the Department, no later than 10/30/24.
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Based on record review and interview, the licensee did not comply with the section cited above in that S1 has been employed at the facility since 8/12/24 and does not have a criminal record clearance which poses an immediate health, safety, or personal rights risk to 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 Vu
LICENSING EVALUATOR NAME:Vicky Williamson
LICENSING EVALUATOR SIGNATURE:
DATE: 10/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/29/2024


LIC809 (FAS) - (06/04)
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