Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600788
Report Date: 06/16/2016
Date Signed 06/20/2016 11:11:47 AM


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
05/05/2016 and conducted by Evaluator Gloria Cruz
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20160505120347
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:108CENSUS: 57DATE:
06/16/2016
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Ana KingTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility Out of Ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA Gloria Cruz made an unannounced complaint visit to the facility and met with Director Ana King. Purpose of the visit was to deliver findings of 3 year old class being out of ratio. CCL has conducted an investigation consisting of LPA observations of classrooms; three staff interviews; file reviews and five parent interviews. Facility is now operating both classrooms for 3 year old children. When class reaches capacity of 12 with one teacher, teacher requests additional staff to meet ratio requirement and at times must wait for additional staff to come into the room leaving the class out of ratio.

Based on LPA’s observations and interviews which were conducted and record reviews the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED, California Code of Regulations, (Title 22, Division 12, Chapter number) are being cited on the attached LIC 9099D.”)
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: 06/20/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2016
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-20160505120347

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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/16/2016
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/21/2016
Section Cited
101216.3(a)
1
2
3
4
5
6
7
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). Once capacity reaches 12 children in classroom, teacher calls for additional
1
2
3
4
5
6
7
Director has modified teachers schedule to cover ratios at all times. Management team is available to step into classrooms if necessary. When teachers are free they need to report to management to get directions on where their help is
8
9
10
11
12
13
14
staff which leaves the room out of ratio until additional staff comes in or children are sent to another classroom. This poses an Immediate Health and Safety risk to the clients in care.

8
9
10
11
12
13
14
needed. Phone system has been replaced and teachers can call for help. Two new staff have been hired. Copy of Staff schedule with break down will be provided to LPA by close of business on 6/21/16. All staff shall receive training on visual supervision and staffing/child ratios. Copy of training and sign in sheet for staff attending shall be submitted to LPA on or before 6/30/16.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: 06/20/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2016
LIC9099 (FAS) - (06/04)
Page: 2 of 3



Control Number 20-CC-20160505120347
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: 06/16/2016
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
AB 633: 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.



NOTICE OF SITE VISIT PROVIDED AND LPA OBSERVED POSTING
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria CruzTELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2016
LIC9099 (FAS) - (06/04)
Page: 3 of 3