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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600310
Report Date: 10/27/2025
Date Signed: 10/27/2025 05:53:59 PM

Document Has Been Signed on 10/27/2025 05:53 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:KINDERCARE ROTHGARD - PRESCHOOLFACILITY NUMBER:
376600310
ADMINISTRATOR/
DIRECTOR:		CELIA CARRIZOSAFACILITY TYPE:
850
ADDRESS:10130 ROTHGARD ROADTELEPHONE:
(619) 670-6566
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY: 106TOTAL ENROLLED CHILDREN: 94CENSUS: 54DATE:
10/27/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:20 PM
MET WITH:Celia Carrizosa TIME VISIT/
INSPECTION COMPLETED:
06:15 PM
NARRATIVE
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On 10/27/2025, at 3:20pm, Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced Case Management inspection to follow up on a self- reported incident. LPA met with Facility Representative, Celia Carrizosa and disclosed the purpose of the inspection. LPA toured the indoor and outdoor of the facility. Days and hours of operation are Monday – Friday, 6:00am to 6:00pm. There were 54 children present, 12 of whom are school age with five staff members including Facility Representative.

Facility Representative reported that on 9/19/2025, at approximately 2:23pm, she transported 10 children from three separate public schools to the facility in a nine passenger van. Facility Representative admitted that she exceeded the vehicle manufacturer’s seating capacity of no more than nine passengers. Facility Representative stated that Child #1, (C1) was the additional child that was picked up and admitted that the child was transported to the facility without being secured in a seat belt.

Interviews were conducted with the facility representative, staff, daycare children, including C1 and the authorized representative for C1. Facility Representative stated that C1's authorized representative was notified of the incident. LPA obtained a copy of facility roster, personnel report, bus child supervision record, related documentation and the vehicle manufacturer information. In addition, LPA inspected the nine passenger van.

LPA's interview with C1's authorized representative determined that she was not aware of the incident involving C1 until 10/20/2025. Daycare children interviewed disclosed that C1 was not properly restrained while being transported to the facility in the nine passenger van.
See LIC 809C Continuation...
NAME OF LICENSING PROGRAM MANAGER: Tulam Vu
NAME OF LICENSING PROGRAM ANALYST: Vicky Williamson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/27/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: KINDERCARE ROTHGARD - PRESCHOOL
FACILITY NUMBER: 376600310
VISIT DATE: 10/27/2025
NARRATIVE
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Based on Facility’s Representative’s own admission, it was determined that on 9/19/2025, 10 children were transported from three separate public schools to the facility in a nine passenger van which exceed the manufacturer’s seating capacity. Facility Representative admitted that C1 sat between to other daycare children on the van and was not secured in a seat belt. Interview conducted with C1's authorized representative confirmed that she was not notified of the incident until 30 days after the incident occurred.

Facility Representative stated that she has been retrained on bus safety and has been suspended from operating the van for six months.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, deficiencies are being cited on the attached LIC 809D.

LPA informed Facility Representative, Celia Carrizosa that this report dated October 27, 2025, documents two (2) Type A citations, 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 informed Facility Representative, Celia Carrizosa to provide a copy of this licensing report dated October 27, 2025, that documents two (2) 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. LPA provided Facility Representative, Celia Carrizosa with form LIC 9224.

A Notice of Site Visit (LIC 9213) was given to Facility Representative, Celia Carrizosa and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. LPA observed LIC 9213 was posted. Appeal Rights (LIC 9058) was provided. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and the report was reviewed with the Facility Representative, Celia Carrizosa.
NAME OF LICENSING PROGRAM MANAGER: Tulam Vu
NAME OF LICENSING PROGRAM ANALYST: Vicky Williamson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/27/2025 05:53 PM - It Cannot Be Edited


Created By: Vicky Williamson On 10/19/2025 at 07:47 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 ROTHGARD - PRESCHOOL
FACILITY NUMBER: 376600310

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/28/2025
Section Cited
CCR
101225(b)

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101225 Transportation (b)The manufacturer's rated seating capacity of the vehicles shall not be exceeded.

This requirement is not met as evidenced by:
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Facility Representative was provided with a copy of Title 22 Regulation section 101225 Transportation. Facility Representative stated that she will submit a written plan to the Department detailing how the facility staff will ensure that staff follow the bus driver safety protocol when transporting children.
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Based on interview and record review, the licensee did not comply with the section cited above, in that 10 children were transported in a 9 passenger van by Celia Carrizosa exceeding the vehicle's seating capacity which poses an immediate, safety, or personal rights risk to persons in care.
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Facility Representative stated she will ensure all staff responsible for transportation of children review the video Child Care Centers Operators located on the CCLD and submit a staff attendance sign in sheet and summary of the video, to the SDRO by 10/28/2025.
Type A
10/28/2025
Section Cited
CCR101225(d)

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101225 Transportation (d) All vehicle occupants shall be secured in an appropriate restraint system.

This requirement is not met as evidenced by:
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Facility Representative was provided with a copy of Title 22 Regulation 101225 Transportation. Facility Representative stated that she will provide a written plan to the Department detailing how the facility staff will ensure that children are secured in
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Based on interview and record review, the licensee did not comply with the section cited above, in that C1 was transported in a 9 passenger van by Celia Carrizosa without a seat belt which poses an immediate, safety, or personal rights risk to persons in care.
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appropriate retraint system. Facility representative stated that she will submit a a written plan, to the SDRO by 10/28/2025.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Tulam Vu
NAME OF LICENSING PROGRAM MANAGER:
Vicky Williamson
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/27/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/27/2025 05:53 PM - It Cannot Be Edited


Created By: Vicky Williamson On 10/26/2025 at 08:11 AM
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 ROTHGARD - PRESCHOOL
FACILITY NUMBER: 376600310

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/10/2025
Section Cited
CCR
101212(f)

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Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.

This requirement is not met as evidenced by:
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Facility Representative was provided with a copy of Title 22 Regulation section 101212 Reporting Requirements. Facility Representative stated that she review regulation with staff and submit a written plan to the Department detailing how she will ensure that parents are notify timely upon the
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Based on interview, the licensee did not comply with the section cited above, in that C1's authorized representative was not notified that on 9/19/25, C1 was transported to the facility in a 9 passenger van without a seat belt which poses an potential, safety, or personal rights risk to persons in care.
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occurrance of incidents involving their children. Facility Representative stated that she will submit staff signatures as acknowledgement that they have read the regulation and a written plan, to the SDRO by 11/10/2025.

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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.
Tulam Vu
NAME OF LICENSING PROGRAM MANAGER:
Vicky Williamson
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/27/2025


LIC809 (FAS) - (06/04)
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