Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600318
Report Date: 01/15/2019
Date Signed 01/22/2019 04:41:40 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: 44DATE:
01/15/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:31 PM
MET WITH:Maritza RenteriaTIME COMPLETED:
06:45 PM
NARRATIVE
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THIS IS AN AMENDED REPORT FROM THE ORIGINAL DRAFT DATED 1/15/19.
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. There were 44 children being supervised by 5 staff members.

On October 10, 2018, the director self- reported an incident of possible personal rights violation that allegedly occurred on October 10, 2019.

On October 10, 2018, it was alleged that Staff #1 was observed by Staff #2 stating to Child# 1, “Stop running and come and get your diaper changed.” Staff #2 stated that she did not hear the entire conversation between Staff #1 and Child #1 but that she did hear Staff #1 say, “or I will smack you." On 10/10/18, Staff #1 provided a statement to the Agency stating that the children were running and throwing toys all over the place in the classroom. Staff #1 stated that Child #1 was slapping and smacking another child. Staff #1 stated that she kneeled down and told Child#1 to stop smacking Child #2. Staff #1 stated that she asked Child #1, “How would you feel if I smacked you, you need to listen to my words and stop.” Staff #1 stated that Staff #2 misunderstood what she said and reported something completely different to the Director. Director stated that she spoke to Staff #1 regarding the incident. Director stated that Staff #1 stated that she told Child #1, "You are smacking other people, what will happen if I smack you." Director stated that she advised Staff #1 that she violated the child's personal rights. Staff and children’s records were reviewed. Interviews were conducted with director, assistant director, and several staff. Based on evidence obtained, it was determined that Staff #1 violated the personal rights of Child #1.

This is a repeat violation because the facility was cited for the same violation on 9/6/18, for violation of a child’s personal rights. An immediate civil penalty of $250 was assessed for repeated violation within 12 months.

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: 01/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2019
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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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: 01/15/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/15/2019
Section Cited
CCR
101223(a)(3)
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THIS IS AN AMENDED REPORT FROM THE ORIGINAL DRAFT DATED 1/15/19. 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 provided a statement to the Agency stating that she said to Child #1, “How would you feel if I smacked you, you need to listen to my words and stop.” Per Director, Staff #1 stated to Child #1, "You are smacking other people, what will happen if I smack you." It was determined that Staff #1 violated the personal rights of Child #1. This poses a potential health and safety risk to children in care.


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Director stated she will conduct a training with all staff members in regards to personal rights and methods on how to redirect children. Director stated she will submit sign in sheet and agenda, no later than 2/15/19.
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An immediate civil penalty of $250 was assessed for repeated violation within 12 months.
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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: 01/15/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2019
LIC809 (FAS) - (06/04)
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