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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005685
Report Date: 06/21/2024
Date Signed: 06/21/2024 01:58:09 PM

Document Has Been Signed on 06/21/2024 01:58 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:KINDERCARE LEARNING CENTER - WORLD TRADEFACILITY NUMBER:
372005685
ADMINISTRATOR/
DIRECTOR:		RASHELLE CULTRERAFACILITY TYPE:
850
ADDRESS:12135 WORLD TRADE DRIVETELEPHONE:
(858) 487-6444
CITY:SAN DIEGOSTATE: CAZIP CODE:
92128
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 46DATE:
06/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Lori JiannuzziTIME VISIT/
INSPECTION COMPLETED:
02:10 PM
NARRATIVE
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On 6/21/24 at 9:00 AM, Licensing Program Analysts (LPAs) Keturah Lane and Adriana Macias conducted an unannounced case management visit to follow up on an unusual incident that occurred at the facility on 6/4/24. According to the report received from the facility on 6/6/24, a child (C1) fell or may have been pulled by another child off the play structure causing the child’s elbow to be fractured. Upon arrival, LPAs met with Director Lori Jiannuzzi and toured the facility. Census was a total of 46 children as follows:

· Discovery room (2’s) had 17 children with staff members: Lauren Digiacinto & Rayna Kamibayashiyama

· Preschool classroom had 17 children with staff members: Cara Lackey (Escamilla) & Tyra Hooper

· Pre-K classroom had 12 children with staff member: Jennifer King

All staff were fingerprint cleared and associated to the facility. LPAs observed appropriate ratio and capacity while at the facility. During this inspection, LPAs inspected the playground, interviewed staff members, reviewed staff records and obtained updated LIC9040 facility roster and LIC500 personnel report. Based upon interviews with C1’s parent, director and staff members it appears that although the child acted normally after naptime, the staff members should have been continually observing the child for an injury, as child did not want to eat lunch and requested to sleep almost immediately. C1 pointed to her arm when staff asked her what was wrong when they heard her crying. There are inconsistent reports regarding the severity of her crying. Parent was not called right after the incident and was told about it when she picked up around 5PM and discovered C1’s arm to be red and swollen when putting C1 in her car seat. Parent then took C1 to the doctor and the elbow was found to be fractured. (continued on LIC809-C...)

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: KINDERCARE LEARNING CENTER - WORLD TRADE
FACILITY NUMBER: 372005685
VISIT DATE: 06/21/2024
NARRATIVE
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Staff may not have been able to see the injury as C1 was wearing long sleeves, however it should have been observed by removing the sleeve, throughout the day based upon the morning incident. Staff stated they observed the child acting normally after naptime, but did not remove the sleeve to look at the arm.

LPA Lane is also concerned about the cushioning (turf only) under the smaller playground structure (labeled 2-5 years) where the incident on 6/4/24 occurred. LPA advised Director to have it checked for appropriate cushioning and to send LPA any documentation regarding the cushioning. LPAs also observed a second play structure on the other side of the playground that is fenced off from the other two playgrounds. This structure is very tall – over 6 feet in height in some areas which also had a label of 2-5 years of age. This structure is new and hasn’t been used yet. LPA asked Director to not use the playground structure until licensing has cleared it, as it appears this might be an error since the structure does not seem appropriate for the ages 2-5 years. The same type of turf is under this structure which LPA feels does not allow proper cushioning in case of a fall. Director stated she would not use the new structure until Licensing has followed up with the facility.

See LIC809D for Type A deficiency cited.

LPA Keturah Lane informed facility representative director Lori Jiannuzzi that this report dated 6/21/24 documents 1 Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Keturah Lane informed the facility representative to provide a copy of this licensing report dated 6/21/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with facility representative director Lori Jiannuzzi. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/21/2024 01:58 PM - It Cannot Be Edited


Created By: Keturah Lane On 06/21/2024 at 01:13 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 - WORLD TRADE
FACILITY NUMBER: 372005685

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/24/2024
Section Cited
CCR
101226.3(b)

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101226.3 Observation of the Child (b) Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record. This requirement was not met as evidenced by…
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Director stated that she would provide a staff training regardfing observation of the child and when to report incidents to parents regarding unusual events and email it to: Keturah.Lane@dss.ca.gov by 6/24/24.
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Based upon interviews with parent and staff members, and medical records received, C1 fractured her elbow during morning play, and C1 was not continually observed throughout the day, nor parent contacted by staff members which posed an immediate health, safety and personal rights risk 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:Tashima Daniel
LICENSING EVALUATOR NAME:Keturah Lane
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2024


LIC809 (FAS) - (06/04)
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