Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600318
Report Date: 04/25/2018
Date Signed 04/25/2018 12:55:27 PM


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
02/16/2018 and conducted by Evaluator Farah Tanous
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20180216123721
FACILITY NAME:KINDERCARE CUYAMACA CENTERFACILITY NUMBER:
376600318
ADMINISTRATOR:THELMA AVILEZFACILITY TYPE:
850
ADDRESS:9735 CUYAMACA STREETTELEPHONE:
(619) 562-3423
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:72CENSUS: 56DATE:
04/25/2018
UNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Jennifer PhillipsTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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9
Staff failed to provide adequate supervision resulting in child being bit by another child in care.

Staff failed to administer first aide to day care child.

Staff failed to notify child's parent of child's injury requiring medical attention.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Farah Tanous, conducted an unannounced investigation visit to deliver complaint findings for the above listed allegations. Upon arrival, LPA met with Assistant Director, Jennifer Phillips. LPA toured the facility and census was taken. This Department has investigated the above listed allegations. During the course of the investigation, LPA conducted multiple investigation visits at the facility; obtained/reviewed pertinent information/documentation; and conducted interviews with facility staff, daycare parents, and daycare children. LPA's investigation confirmed that Child #1 sustained an injury; however, due to conflicting statements made by all parties about the allegations, LPA is unable to determine whether or not the type of injury Child #1 sustained required medical/first aide treatment, and more importantly, whether or not the injury actually occurred at the facility or outside daycare hours. Therefore, the preponderance of evidence standard has not been met. 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 LPA found the complaint allegations to be UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Farah TanousTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2018
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 2
Control Number 20-CC-20180216123721
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 CUYAMACA CENTER
FACILITY NUMBER: 376600318
VISIT DATE: 04/25/2018
NARRATIVE
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*** No deficiencies cited during today's visit. An exit interview was conducted with the director and she was provided a copy of licensee's appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed director post Notice of Site Visit.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Farah TanousTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2018
LIC9099 (FAS) - (06/04)
Page: 2 of 2