Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600318
Report Date: 01/22/2019
Date Signed 01/22/2019 04:46:42 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: 28DATE:
01/22/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:20 PM
MET WITH:Maritza RenteriaTIME COMPLETED:
04:55 PM
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Licensing Program Analyst (LPA) Vicky Williamson made an unannounced case management inspection. Purpose of inspection is to deliver an amended report from an original report dated 01/15/2019, due to correcting section cited 101233(a)(3) Personal Rights, civil penalty assessment form LIC 421M and immediate civil penalty of $500 assessed for repeated violation within 12 months. The correct cited section is 101223(a)(3) Personal Rights. The correct civil penalty assessment form is LIC 421FC and immediate civil penalty of $250 assessed for repeated violation within 12 months the facility was cited for the same violation on 9/6/18. LPA met with Maritza Renteria, Director. There were 21 children observed on the playground with 3 staff members and 7 children in classroom 6 with 1 staff member.

No deficiencies cited during today's inspection. 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: 01/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2019
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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