Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600790
Report Date: 01/23/2017
Date Signed 01/25/2017 02:41:21 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
11/02/2016 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20161102085417
FACILITY NAME:KINDERCARE LEARNING CENTER - PASEO LADERA, INFFACILITY NUMBER:
376600790
ADMINISTRATOR:ANA KINGFACILITY TYPE:
830
ADDRESS:1101 PASEO LADERATELEPHONE:
(619) 482-1800
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:44CENSUS: DATE:
01/23/2017
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Celia FrancoTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Lack of Supervision - child in care was bitten by child

Food Services - child in care allowed to consume a drink not permitted by parent
INVESTIGATION FINDINGS:
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LPA Adrian Castellon conducted an unannounced complaint visit to the facility regarding the above allegation. LPA Castellon met assistant director Celia Fanco. During today's visit, there were 32 day-care children present. On 11.02.17, the SDRO received a report alleging supervision and food services violations. A child #1 in care was bitten by another child #2 in care, causing an injury that required medical treatment. Facility was aware that child involved in incident was recently biting and should have taken extra precaution to prevent another bite. During another incident, child #1 in care was able to grab a cup not belonging to the child and drank the milk, although the facility was advised not to allow the child to drink milk. During the course of the investigation, LPA interviewed facility staff and day-care parents. LPA obtained reports pertaining to the investigation. LPA obtained photo of injury. Based on information gathered, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Notice of Site Visit posting requirement was discussed. Type A citation issued on this date. Licensee was advised that upon receipt of a type “A” deficiency, licensee shall post and provide copies of the 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. Licensee's appeal rights were provided both verbally and in writing.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: 619-767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2017
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 4


Control Number 20-CC-20161102085417

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, INF
FACILITY NUMBER: 376600790
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/23/2017
Section Cited
101427(c)
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(c) The infant shall be fed in accordance with the individual plan. Staff was advised that child #1 was not to have dairy, yet child was able grab a cup that didn't belong to her and drank the milk. Cup was immediately taken from child. Facility was not advised via Needs and
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Director Ana King states that a single teacher will be designated to supervise and serve children who have special dietary requests.
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Services plan, but staff was advised in writing. This could pose a threat to children in care.
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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: Adrian CastellonTELEPHONE: 619-767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2017
LIC9099 (FAS) - (06/04)
Page: 4 of 4



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
11/02/2016 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20161102085417

FACILITY NAME:KINDERCARE LEARNING CENTER - PASEO LADERA, INFFACILITY NUMBER:
376600790
ADMINISTRATOR:ANA KINGFACILITY TYPE:
830
ADDRESS:1101 PASEO LADERATELEPHONE:
(619) 482-1800
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:44CENSUS: DATE:
01/23/2017
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Ana KingTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Personal Rights - diapers put on too tight leaving marks

Lack of Supervision - child had small bump on lip and staff could not explain
INVESTIGATION FINDINGS:
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LPA Adrian Castellon conducted an unannounced complaint visit to the facility regarding the above allegation. LPA Castellon met director Ana King. During today's visit, there were 32 day-care children present. On 11.02.16, the SDRO received a report alleging the above complaints. During the course of the investigation, LPA interviewed day-care parents and facility staff. LPA obtained reports pertaining to the investigation.

As of January 1, 2017, the term "inconclusive" is no longer used to refer to the outcome of certain complaint investigations. Such complaint allegations are now deemed "unsubstantiated". This document has not yet been updated to reflect this change and for purposes of this complaint investigation the Department's finding is that this allegation was unsubstantiated.
Inconclusive
Estimated Days of Completion:
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: 619-767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2017
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4


Control Number 20-CC-20161102085417

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, INF
FACILITY NUMBER: 376600790
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/06/2017
Section Cited
101229
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101229(a)(1) Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1). Child #1 in care was bitten by another child in care. Facility was aware that child #2 may bite and has bitten and
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Director Ana King and assistant director have discussed and reviewed supervision requirements with staff. Staff will also shadow any child who has a history of biting or any other issue. A written plan of correction will be submitted to SDRO by 02.06.17.
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should have taken steps to prevent another bite. This poses an immediate threat to children in care.
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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: Adrian CastellonTELEPHONE: 619-767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2017
LIC9099 (FAS) - (06/04)
Page: 3 of 4