Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600790
Report Date: 06/02/2017
Date Signed 06/02/2017 03:48:11 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
04/17/2017 and conducted by Evaluator Celina Damian
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20170417095858
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: 31DATE:
06/02/2017
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Celia Franco TIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Ratio- Infant room was routinely out of ratio during morning drop off
INVESTIGATION FINDINGS:
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LPA Damian conducted a complaint inspection on this date. LPA met with Assistant Director Celia Franco. There were 31 children in care. The purpose of the visit is to deliver finding regarding the above allegation.

Based upon staff and witness interviews and documents gathered the preponderance of evidence standard has been met. Investigation found that in the mornings all infants and toddlers are brought to the infant room where classroom was routinely out of ratio. This was due to influx of children during drop off and staff scheduling. Therefore the above allegation is substantiated.

AB633**** Please refer to page 2 for deficiency that was cited for correction per CCR, Title 22, Division 12, Chapter 1 regulations. Provided and discussed appeal rights. Notice of Site Visit posted during visit and must remain posted for 30 Days. Furthermore, 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. Exit Interview conducted with ***
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Celina DamianTELEPHONE: 619-767-2200
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2017
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-20170417095858

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: 06/02/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/02/2017
Section Cited
101416.5(b)
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101416.5(b) There shall be a ratio of one teacher for every four infants in attendance. Facility was routinely out of ratio in the morning during drop off with more than four infants per staff.
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Staff schedules have been adjusted to ensure that there is sufficient staff in classroom in the mornings specifically before 7:30 AM. Assistant Director states that two additional shifts have been added. Staff will be reminded that they must go directly to their classrooms in the mornings to avoid being out of ratio. A training
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was held on 05/09/2017 where ratio was discussed. Copies of training was provided to LPA.
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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: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Celina DamianTELEPHONE: 619-767-2200
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2017
LIC9099 (FAS) - (06/04)
Page: 2 of 3



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
04/17/2017 and conducted by Evaluator Celina Damian
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20170417095858

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: 31DATE:
06/02/2017
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Celia Franco TIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Lack of Care and Supervision - Child sustained scratch like injury at facility
INVESTIGATION FINDINGS:
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LPA Damian conducted a complaint inspection on this date. LPA met with Assistant Director Celia Franco. There were 31 children in care. The purpose of the visit is to deliver findings regarding the above allegation.

Investigation consisted of staff and witness interviews, observation and document reviews. There have been conflicting statements made from all parties regarding the injury such that LPA is unable to determine when and where the injury occurred and the cause of injury. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted with Licensee and appeal rights were explained. Notice of site visit posted today and must remain posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Celina DamianTELEPHONE: 619-767-2200
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2017
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3