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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700582
Report Date: 01/31/2023
Date Signed: 01/31/2023 09:15:34 AM


Document Has Been Signed on 01/31/2023 09:15 AM - It Cannot Be Edited

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 - INFANTFACILITY NUMBER:
376700582
ADMINISTRATOR:CELIDA BANUELOSFACILITY TYPE:
830
ADDRESS:10623 TREENA STREETTELEPHONE:
(858) 271-4700
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY:45CENSUS: 19DATE:
01/31/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:51 AM
MET WITH:Celida BanuelosTIME COMPLETED:
09:25 AM
NARRATIVE
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On 1/31/23 at 8:51 AM, Licensing Program Analyst (LPA) Keturah Lane conducted a case management inspection at the facility. Upon arrival, LPA met with facility representative Director Celida Banuelos and toured the facility. Census was 9 infants and 10 toddlers in 2 classrooms with 6 staff members present. All staff were fingerprint cleared and associated to the facility. LPA observed appropriate capacity, ratios and supervision.

During a previous visit on 11/18/22, LPA Lane observed several toddlers playing with the recycled crumb rubber mulch in the playground area. Toddlers were pouring it with cups, playing pretend restaurant and using it for other activities. LPA did not observe any of the toddlers putting the recycled rubber in their mouths at the inspection. However, based upon staff interviews there have been several instances where toddlers put the recycled rubber mulch in their mouth and the staff members then remove it. There was no citation given at that visit, but upon further evaluation it was decided this poses a potential health, safety and personal rights risk to the children in care.

Pursuant to Title 22 of the CA Code of Regulations, the following Type B deficiency was cited (refer to 809-D).

Exit interview conducted and report was reviewed with facility representative Director Celida Banuelos. Notice of site visit was provided and must remain posted for 30 days.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2023
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 01/31/2023 09:15 AM - It Cannot Be Edited

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 - INFANT
FACILITY NUMBER: 376700582

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/31/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/10/2023
Section Cited

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101438.2 Outdoor Activity Space for Infants – (d) The outdoor activity space shall be equipped with a variety of age-appropriate toys and equipment. This requirement was not met as evidenced by…
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Director will provide a one-on-one training with each staff member to provide age-appropriate outside activities: sensorytable, garden area, and remove buckets for pouring. Director will also provide written plan and have staff sign it and provide it via e-mail to LPA Lane: Keturah.Lane@dss.ca.gov
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Based upon LPAs observations and staff interviews, toddlers were allowed to use the recycled rubber mulch for pouring/digging, playing pretend restaurant food and for other outdoor activities which poses a potential health, safety and 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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2023
LIC809 (FAS) - (06/04)
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