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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600694
Report Date: 09/24/2024
Date Signed: 09/24/2024 03:12:23 PM

Substantiated


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
09/19/2024 and conducted by Evaluator Patrick Ma
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20240919092806
FACILITY NAME:KINDERCARE - CARLSBAD 1648 - INFANTFACILITY NUMBER:
376600694
ADMINISTRATOR:LEONE PAULFACILITY TYPE:
830
ADDRESS:6270 FLYING LEO CARRILLO LANETELEPHONE:
(760) 431-2558
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY:44CENSUS: 31DATE:
09/24/2024
UNANNOUNCEDTIME BEGAN:
08:12 AM
MET WITH:Maddie HowertonTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff are not safe guarding children in care
INVESTIGATION FINDINGS:
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On 9/24/24 at 8:12AM LPAs Patrick Ma and Mahjoba Raofi made an unannounced visit to initiate an investigation, for the complaint received on 9/19/24, regarding the above allegation. Upon entry, LPA met with acting Assistant Director Maddie Howerton and explained purpose of the visit. Later, District Leader Melinda Gaskin participated with the visit. LPA conducted staff interviews, made a confidential names list, and received a copy of the children’s roster.

Present at the facility were the following:

Staff Erin Sonsen and Deanna Dvorak with 8 infants in room Infant A
Natalie Marker and Noelyn Diaz with 7 infants in room Infant B
Krystin Dupree with 4 infants in Infant C
Elizabeth Witt, Nancy Fernandez, Indira Sharma with 12 infants in Toddlers Room
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2024
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 4
Control Number 51-CC-20240919092806
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 - CARLSBAD 1648 - INFANT
FACILITY NUMBER: 376600694
VISIT DATE: 09/24/2024
NARRATIVE
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Based on the information obtained during interviews and documentation reviewed it is determined that child C1 has repeated incidents of hitting, biting, and pulling other children’s hair since May 2024. Behaviors were exhibited in waves of increase and decrease frequency per month but intervention services to help meet the child’s needs were not requested until mid-September 2024. Between May and September efforts such as using teething biters, redirecting, and management assistance were provided but did not provide consistent behavioral improvements. Inclusion services and behavioral plan are currently in development with the family.

The allegation is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations the deficiency is being cited on the attached LIC 9099D.

Exit interview conducted and report was reviewed with the facility representatives Maddie Howerton and Melinda Gaskin. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 51-CC-20240919092806
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 - CARLSBAD 1648 - INFANT
FACILITY NUMBER: 376600694
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/24/2024
Section Cited
CCR
101223(a)(3)
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101223(a)(3) Personal Rights: The licensee shall ensure that each child is accorded...To be free from...infliction of pain. This requirement was not met as evidenced by:
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Acting Asst Director stated she has a parent meeting already schedule with the family to develop a behavioral plan and will provided a copy of behavioral plan and Inclusion services to the department by 10/24/24.
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Based on the information obtained during interviews and documentation reviewed it is determined that child C1 has repeated incidents of hitting, biting, and pulling other children’s hair since May 2024. Behaviors continued for over 3 months before intervention services to help meet the child’s needs were requested in mid-September 2024. which poses/posed a potential health, safety or 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.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4