Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600318
Report Date: 06/26/2018
Date Signed 06/26/2018 06:30:09 PM

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 CUYAMACA CENTERFACILITY NUMBER:
376600318
ADMINISTRATOR:MARITZA RENTERIAFACILITY TYPE:
850
ADDRESS:9735 CUYAMACA STREETTELEPHONE:
(619) 562-3423
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:72CENSUS: 45DATE:
06/26/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:41 PM
MET WITH:Maritza RenteriaTIME COMPLETED:
04:40 PM
NARRATIVE
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Licensing Program Analyst Vicky Williamson conducted an annual/random inspection. Met with Maritza Delatorre - Renteria, Director. The facility operates Monday - Friday from 6:00 am to 6:30 pm.

The indoor and outdoor of the facility was inspected. Room #4 had 14 napping children with 1 teacher and 1 aide. Room #5 had 16 napping children with 2 teachers. Room #7 had 15 napping children (transitional kindergarten) with 2 teacher and 1 aide. Children were observed to be under visual supervision. The classrooms and restrooms have adequate lighting, heating, and ventilation. All floors appeared to be safe and clean. Furniture, children's cubbies, toys and napping equipment (cots) appeared to be in good condition. Trash cans have a tight-fitting covers and are in good repair. Disinfectants, cleaning solutions and other hazardous items are stored behind latched cabinets. Medication policies and procedures were reviewed. This facility is currently not providing Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Menu is posted one month in advance. All food was inspected and protected from contamination. Sign in/out sheets were reviewed. LPA observed that in classroom #4, classroom #5 and classroom #7 missing parent/guardian’s signatures and time of day recorded were not present for several children. Director and LPA discussed options to assure that parents/guardians utilize the sign in and out sheet daily. The kitchen and storage areas appeared to be clean. Facility appeared to be free of flies, other insects and rodents. The surface of the outdoor activity space is maintained in a safe condition with sufficient shade. Drinking water are available inside the classrooms and outdoor play area. There are no bodies of water and weapons present on the premises. The last fire drill was conducted and documented on 6/18/18. The director's office is designated for use by children who are ill. A sample of the children's records, including medical assessment were reviewed. Staff's records, including transcripts, teacher qualifications and experiences and health screenings were reviewed. Opening and closing staff members have current CPR and First Aid certifications.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2018
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 3
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 CUYAMACA CENTER
FACILITY NUMBER: 376600318
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/26/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/06/2018
Section Cited
CCR
101229.1(a)(b)
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Sign In and Sign Out- In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following:The person who brings the child to, and removes the child from, the center shall sign the child in/out.

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Director stated that she will conduct a staff meeting to remind staff members of the sign in and sign out policy. Director will provide LPA with a copy of the staff meeting agenda and sign in and sign out sheets, no later than 7/6/18.
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The requirement has been met as evidence by: LPA observed that several children in classroom # 4, #5, & #7 were not signed in by their parent/guardian, it is determined that children should be signed into the facility daily by a parent/guardian. This poses a potential and health and safety 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: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2018
LIC809 (FAS) - (06/04)
Page: 3 of 3
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 CUYAMACA CENTER
FACILITY NUMBER: 376600318
VISIT DATE: 06/26/2018
NARRATIVE
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A review of staff records on 6/26/18 indicated that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The facility operates Monday -Friday from 6:00 am to 6:30 pm.

Incidental Medical Services (IMS) policy was discussed and a plan of operation has been submitted to the Licensing Agency. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.

The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www/ada.gov/childqanda.htm

The director was provided information on SIDS and Shaken Baby Syndrome.

Refer to the next page LIC 809D for deficiency citations. Facility was provided a copy of the appeal rights form LIC 9058 and the signature on this form acknowledges receipt of these rights.

Director has updated and submitted form LIC 308, LIC 309, board resolution, LIC 500, LIC 610 and staff's handbook to the Licensing Agency.

The Notice of Site Visit (LIC 9213) was provided to be posted at the facility for 30 days. LPA observed form LIC 9213 posted.

An exit interview was conducted





SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2018
LIC809 (FAS) - (06/04)
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