Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600788
Report Date: 08/29/2017
Date Signed 08/29/2017 04:18:40 PM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/23/2017 and conducted by Evaluator Gloria Cruz
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20170823145100
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:78CENSUS: DATE:
08/29/2017
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Ana KingTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Overcapacity
INVESTIGATION FINDINGS:
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LPA Gloria Cruz made an unannounced visit to the facility and met with Director, Ana King and Assistant Director, Rosa De La Torre to investigate an allegation that on 8/18/17 at 8:10 a.m., Preschool A (Classroom #9) was out of capacity, there were 17 children with one staff. Review of the Child Supervision Record (Name to Face) log indicated that on 8/18/17 fourteen children arrived between 6 and 8 a.m. Between 8:03 to 8:25 class was overcapacity with 17 children in class (3 children over). At 8:25 a.m. 5 children were moved to Room 3B, children were brought back to their class at 9 a.m.

Based on LPA’s observations and record reviews the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria CruzTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2017
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 20-CC-20170823145100
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: KINDERCARE LEARNING CENTER - PASEO LADERA
FACILITY NUMBER: 376600788
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/29/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/30/2017
Section Cited
CCR
101216.3(a)
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Teacher – Child Ratio. There shall be a ratio of one teacher supervising no more than 12 children in attendance except as specified in (b) and (c). Facility was out of ratio on 8/18/17 for approximately 25 minutes. This poses an immediate risk to the health and safety of children in care.
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Facility was short that morning due to staff calling in. Children were moved into another room when Director became aware. Additional staff have been hired, Director shall change work schedules to ensure staff are
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in classrooms prior to class being out of ratio. Director will have additional staff available to ensure the teacher child ratio is maintained at all times.
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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: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria CruzTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2017
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2017
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 20-CC-20170823145100
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 LEARNING CENTER - PASEO LADERA
FACILITY NUMBER: 376600788
VISIT DATE: 08/29/2017
NARRATIVE
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AB633****Deficiencies are cited on LIC 809D. Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, upon receipt, Licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. An Acknowledgment of Receipt of Licensing Reports, Form LIC 9224 must be signed and placed in each child’s file. LPA provided Notice of Site Visit (LIC 9213). LPA observed Licensee post the LIC9213 and it shall remain posted for the next 30 days. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. Exit interview conducted. Appeal rights were provided.

NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria CruzTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2017
LIC9099 (FAS) - (06/04)
Page: 2 of 3