Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600318
Report Date: 09/06/2018
Date Signed 09/06/2018 05:56:24 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:96CENSUS: 41DATE:
09/06/2018
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:46 PM
MET WITH:Maritza ReneteriaTIME COMPLETED:
06:05 PM
NARRATIVE
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Licensing Program Analyst (LPA) Vicky Williamson arrived at the facility to conduct a case management inspection to follow up on an incident report. LPA Williamson met with Maritz Renteria, Director. The following ratios were observed during the inspection:

Room #4 had 16 napping children with 1 teacher and 1 aide
Room #5 had 9 napping children with 1 teacher
Room #7 had 16 children with 2 teachers

On August 2, 2018 the director self- reported an incident of possible personal rights violation that allegedly occurred on August 1, 2018.

On August 1, 2018, it was alleged that Staff 1 stated to Child 1 "If you don't sit down you will not get a banana.” Interviews were conducted with director, assistant director, a staff member, and child in question. Jennifer Phillips, Assistant Director disclosed that she was present in the classroom when she heard Staff 1 say to Child 1 "If you don't sit down you will not get a banana.” Assistant Director stated that she immediately advised Staff 1 that children are not allowed to be deprived of food nor should a statement be made in regards to children being deprived of food. Staff 1 stated that Child 1 had his feet on the table while leaning back in a chair. Staff 1 stated that the child had already had a banana and wanted another banana. Staff 1 acknowledged that she said "If you don't sit down you will not get a banana.” Staff 1 stated the statement was made in effort to have Child 1 remove his feet from the table and to sit in the chair without leaning back and to prepare for his snack. Staff 1 stated that this was Child 1 second snack and that she would never deprive food from any children. Staff 1 stated that Assistant Director Phillips immediately gave her examples on how to redirect children. LPA Williamson, Assistant Director, and Staff 1 discussed personal rights violations. LPA reviewed staff records and obtain a copy children’s roster.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Vicky WilliamsonTELEPHONE: (619) 767-2214
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2018
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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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: 09/06/2018
NARRATIVE
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See 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.

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: 09/06/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2018
LIC809 (FAS) - (06/04)
Page: 2 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: 09/06/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/21/2018
Section Cited
CCR
101223(a)(3)
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Personal Rights. Each child shall be free from corporal or unusual punishment, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature. The requirement was not met as evidence by: Staff 1 acknowledged that she said to child 1, "If you don't sit down you will not get a banana.” Staff 1 stated that she would never deprive any children of food. This poses a potential health and safety risk to children in care.

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Assistant Director Phillips stated she will conduct a training with all staff members in regards to personal rights and methods on how to redirect children. Assistant Director stated she will submit sign in sheet, agenda, and a summary of the training from Staff 1, no later than 9/21/18.
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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: 09/06/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2018
LIC809 (FAS) - (06/04)
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