Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600349
Report Date: 07/07/2016
Date Signed 07/07/2016 02:56:25 PM

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 S. CENTRE CITY PARKWAY SCHOOL AGEFACILITY NUMBER:
376600349
ADMINISTRATOR:JENNIFER PAULSONFACILITY TYPE:
840
ADDRESS:2415 S. CENTRE CITY PARKWAYTELEPHONE:
(760) 745-2474
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:24CENSUS: 20DATE:
07/07/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Jennifer PaulsonTIME COMPLETED:
12:45 PM
NARRATIVE
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(1) LPA Monica Cuddy visited the facility to conduct a site inspection. Upon arrival LPA met with the Center Director and proceeded to tour the facility. During today's visit, there were 20 children with 2 staff in 1 classroom. Appropriate ratios, capacity and supervision were observed.
Furniture and age appropriate equipment is in good condition. Room has adequate heating, lighting, ventilation. There are no hazards accessible to children. Drinking water is readily accessible. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Paper towels and toilet paper are available. Bathrooms are lighted and have ventilation. Food service area consists of a kitchen which is clean and free of hazards. Menu is posted. Adequate food is available for meals. Cleaning supplies are kept separate from food. Storage containers for solid waste have tight-fitting covers and are kept in good repair. The facility appears to be free of insects and rodents.
Outdoor play area is a fenced playground with sufficient material for cushioning. There are no bodies of water or weapons at this facility. Climbing structures and slides are securely fixed to the ground. Area has a canopy used for shade. Equipment is age appropriate. Area has drinking water readily accessible and grounds are free of debris or potential hazards.
LPA reviewed medication storage and sign-in/sign-out procedures. Most personnel records contain health screening and children’s records contain emergency information. At least one staff member has current CPR and First Aid certifications. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. The facility provides Incidental Medical Services-IMS. LPA reviewed storage of medication and equipment /supplies, and reviewed children’s, personnel and administrative records.
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. LPA provided notice of site visit and observed it being posted at the facility. See LIC 809D for deficiency cited.
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Monica CuddyTELEPHONE: 619-767-2249
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2016
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 S. CENTRE CITY PARKWAY SCHOOL AGE
FACILITY NUMBER: 376600349
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/07/2016
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/08/2016
Section Cited
101217(a)(11)
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Personnel Records. Personnel records shall be maintained on the licensee, administrator, and each employee, and shall contain specified information. - Staff #4 is missing a health screening. This presents a potential risk to the health and safety of children in care.
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Licensee will obtain a current health screening for staff #4 and provide a copy to licensing no later than 8/8/16.
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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: Monica CuddyTELEPHONE: 619-767-2249
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2016
LIC809 (FAS) - (06/04)
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