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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700582
Report Date: 02/28/2025
Date Signed: 02/28/2025 12:43:10 PM

Document Has Been Signed on 02/28/2025 12:43 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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:KINDERCARE LEARNING CENTER - INFANTFACILITY NUMBER:
376700582
ADMINISTRATOR/
DIRECTOR:		CELIDA BANUELOSFACILITY TYPE:
830
ADDRESS:10623 TREENA STREETTELEPHONE:
(858) 271-4700
CITY:SAN DIEGOSTATE: CAZIP CODE:
92131
CAPACITY: 45TOTAL ENROLLED CHILDREN: 31CENSUS: 26DATE:
02/28/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Celida BanuelosTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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On 2/28/25 at 11:00 am Licensing Program Analyst (LPA) Gerald Poindexter conducted an unannounced case management inspection to follow up on an unusual incident reported by the facility that occurred on 2/12/25. LPA met with Celida Banuelos, center director. LPA toured the facility, inspected the classroom refrigerator (bottles were labeled with today’s date), took a classroom census. Appropriate ratios and supervision were observed.

According to the report submitted by the facility, a daycare child (C1) child #1 was accidentally given child #2's breast milk. Staff estimates that the child drank less than 1oz. of the bottle, when it was recognized that the wrong bottle was administered. They discarded the milk. Child #1 was given their own bottle. Child #2 had an extra supply of milk available for the rest of that day. Parents were notified of the incident.

The three staff present when the incident occurred were interviewed today. At the time of the incident, Staff #2 began the bottle-warming process for child #2, then began to diaper another child, and then requested that Staff #1 feed bottle to child #2. Staff #1 misread the label on the bottle and did not communicate with other staff before giving bottle it to child #1. Ultimately, within about one minute, Staff #2 recognized and communicated the error to Staff #1. Child #1 did not incur a negative reaction. Another teacher, Staff #3 was present in the room attending to other children.

See LIC 809D for Deficiency cited.

Exit interview conducted and report was reviewed with Celida Banuelos, center director. A Notice of Site visit was given and must remain posted for 30 days. Appeal Rights provided.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2025
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 02/28/2025 12:43 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 02/28/2025 at 12:14 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 - INFANT
FACILITY NUMBER: 376700582

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2025
Section Cited
CCR
101223(a)(2)

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101223(a)(2) Personal Rights. Each child shall be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidenced by ....
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Correction has already been addressed. Infant staff has been retrained as of 12/17/25 staff develoment day (staff signature inclkuded). Director provided the new bottle handing procedures to ensure that staff feed each child the correct bottle.
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Based upon facility documents, interviews with multiple parties, Child #1 was given Child #2's bottle to drink. This posed a potential risk to the health and safety of the child.
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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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 02/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/28/2025


LIC809 (FAS) - (06/04)
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