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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600788
Report Date: 12/20/2024
Date Signed: 12/20/2024 01:31:25 PM

Document Has Been Signed on 12/20/2024 01:31 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
SAN DIEGO CC RO, 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: 78CENSUS: 67DATE:
12/20/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Ana KingTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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On 12/20/2024, Licensing Program Analysts (LPAs) Saul Zazueta and Cindy Meier conducted an unannounced inspection and met with Director, Ana King. LPA discussed the purpose of the inspection and was led on a tour of the facility. There were sixty-seven (67) children present with six (6) staff members at the time of inspection.

During record review, LPA observed two (2) adult staff members present at the facility with no criminal record clearance. Per California Code of Regulation, Title 22, Division 12, Chapter 1, section Criminal Record Clearance 101170(e)(1), Staff #1 (S1), and Staff #2 (S2) did not have a criminal record clearance. A $1,000 Civil Penalty was assessed, $500 per S1 and S2.

It is noted that the Director, Ana King, was provided form LIC421BG Background Check during the time of inspection.

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: Jason Garay
LICENSING EVALUATOR NAME: Saul Zazueta
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 12/20/2024 01:31 PM - It Cannot Be Edited


Created By: Saul Zazueta On 12/20/2024 at 01:15 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: 12/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/20/2024
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 and S2 will not return to the facility until a criminal record clearance has been granted. Director was advised to follow up with the Guardian system and provide proof of status and clearance to the Department, no later than 01/20/25.
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Based on record review and interview, the licensee did not comply with the section cited above in that S1 and S2 has been employed at the facility since 7/22/24 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:Jason Garay
LICENSING EVALUATOR NAME:Saul Zazueta
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2024


LIC809 (FAS) - (06/04)
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