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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600790
Report Date: 10/25/2024
Date Signed: 10/29/2024 10:01:05 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/26/2024 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20240726110328
FACILITY NAME:KINDERCARE LEARNING CENTER - PASEO LADERA, INFANTFACILITY NUMBER:
376600790
ADMINISTRATOR:ANA KINGFACILITY TYPE:
830
ADDRESS:1101 PASEO LADERATELEPHONE:
(619) 482-1800
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:56CENSUS: 43DATE:
10/25/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Ana KingTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Staff are not following feeding plan for child

INVESTIGATION FINDINGS:
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On 10/12/24, at 10:30 AM, Licensing Program Analyst (LPA) Adrian Castellon conducted an inspection to conclude the complaint investigation regarding the above allegation. LPA advised director Ana King of the purpose of the inspection and was granted facility entry. It was alleged that Staff are not following feeding plan for child. During the course of the investigation, two unannounced inspections were conducted. Interviews were conducted with staff and day-care parents. Infant Needs and Services Plan and feeding logs were obtained. Based on the records review, staff is not following feeding plan for child. Child is being fed, but the feeding log is not properly updated, resulting in feeding log not reflecting feeding schedule. As such, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Violation of the California Code of Regulations, Tittle 22 Type B citation is being cited on the attached LIC9099D. An exit interview was conducted with licensee and as required. A copy of this report and Appeal Rights discussed and provided. A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
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 3
Control Number 20-CC-20240726110328
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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, INFANT
FACILITY NUMBER: 376600790
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/08/2024
Section Cited
CCR
101427(b)(3)(B)
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101427 Infant Care Food Service: (b) There shall be an individual feeding plan for each infant. (3) The plan shall include the following items: (B) Feeding schedule. This requirement was not met as evidenced by staff is not following feeding plan by not properly documenting

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Director King will hold a meeting and training with all infant staff where the importance of following the Infant Needs and Services Plan and of accurate documentation. Director will submit meeting agenda signed by staff.
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feeding times therefore reflecting the feeding schedule to be off. This may pose a threat to the health and safety of 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.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/26/2024 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20240726110328

FACILITY NAME:KINDERCARE LEARNING CENTER - PASEO LADERA, INFANTFACILITY NUMBER:
376600790
ADMINISTRATOR:ANA KINGFACILITY TYPE:
830
ADDRESS:1101 PASEO LADERATELEPHONE:
(619) 482-1800
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:56CENSUS: 43DATE:
10/25/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Ana KingTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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Due to lack of supervision, child received a scratch

Staff is under the influence of illegal substances while working with the children
INVESTIGATION FINDINGS:
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On 10/25/2024 at 10:30 a.m. Licensing Program Analyst (LPA), Adrian Castellon conducted an unannounced complaint inspection to deliver the findings of the above allegations. LPA met with Director and advised of the purpose of the inspection and conducted a tour of the facility. During the course of the investigation, interviews were conducted with facility staff and day-care parents . The facility roster was obtained and reviewed by LPA. Due to conflicting information obtained throughout the course of the investigation, LPA was unable to determine whether or not the allegation occurred.Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview conducted and report was reviewed with director. A copy of this report, along with Appeal Rights (LIC9058 03/22), were provided. A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3