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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600788
Report Date: 04/16/2021
Date Signed: 04/16/2021 12:32:13 PM

Document Has Been Signed on 04/16/2021 12:32 PM - It Cannot Be Edited

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 LEARNING CENTER - PASEO LADERAFACILITY NUMBER:
376600788
ADMINISTRATOR:ANA KINGFACILITY TYPE:
850
ADDRESS:1101 PASEO LADERATELEPHONE:
(619) 482-1800
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 78TOTAL ENROLLED CHILDREN: 0CENSUS: 70DATE:
04/16/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Ana KingTIME COMPLETED:
12:30 PM
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On 04/16/2021 at 10:55am, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced virtual case management inspection via FaceTime due to COVID-19 and met with Director, Ana King. The purpose of the inspection was to follow-up on a self-report alleging a teacher tapped two students on the head to get their attention on 04/09/2021. There were 70 children and six (6) staff members at the time of the inspection.

Staff was interviewed and records were reviewed during the inspection. The director stated she will submit to LPA via email a roster and other documents relevant to the incident.

No deficiencies issued during today’s inspection.

An exit interview was conducted with the director. LPA discussed and will provide the LIC809 and appeal rights via email. Director was advised that acknowledgement of receipt of the report is to be received within twenty-four hours.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 04/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2021
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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