Office review·April 29, 2025

On 04/29/2025 at 2:30 P.M., Licensing Program Manager (LPM), Renesha Askew, and Licensing Program Analyst (LPA), Edleen Montesa, conducted an office meeting with Licensee representative, Sandra Freni, and Acting Director, Ana Pacheco, at the San Diego North Regional Office. The purpose of this meeting is to discuss the recent facility history for KinderCare Cuyamaca Infant (376600320). This facility received one serious Type A citation under CCR 101429(a)(1) Responsibility for Providing Care & Supervision for Infants on 04/06/2023 during a Complaint investigation where staff’s lack of supervision resulted in an infant incurring facial injuries and a swollen wrist/hand caused by another infant in care. The facility also received 7 Type B citations within the last three years regarding staff immunization requirements (HSC 1596.7995), health screening personnel requirements (CCR 101216), teacher qualifications and duties (CCR 101216.1), indoor activity space (CCR 101438.3), and infant needs and services plan (CCR 101419.2). Technical Support Program (TSP) was offered and initiated on 07/17/2024. TSP Analyst sent a referral letter on 09/18/2024, via mail to KinderCare Cuyamaca’s facility address to notify Director of the TSP referral request. In addition to the mailed referral letter, TSP Analyst also sent an e-mail to the Director regarding the TSP referral request with the TSP Introductory Letter and Participation Agreement (PA). On 11/20/2024, TSP notified the Regional Office, TSP referral was closed due to lack of response from Director. It was mentioned that Director seemed interested in TSP services during September, however during multiple attempts of contact, Director failed to submit a completed and signed TSP Participation Agreement. (See continuation on LIC 809-C...) The following regulations were reviewed and a copy of each listed were provided to Licensee representative, Lindsay Sweet, and Acting Director, Ana Pacheco: CCR 101429 – Responsibility for Providing Care & Supervision for Infants HSC 1596.7995 – Immunization Requirements CCR 101216 – Personnel Requirements CCR 101216.1 – Teacher Qualifications & Duties CCR 101438.3 – Indoor Activity Space for Infants CCR 101419.2 – Infant Needs & Services Plan Facility representatives requested TSP referral be resubmitted on their behalf and will be submitted today as requested to address topics regarding care and supervision, personnel requirements, and ratio and capacity. Facility representatives were also provided with the CDSS Child Care Licensing (CCL) Child Care Center Operators Resource link with instructional videos: https://ccld.childcarevideos.org/child-care-center-operators/ . It is recommended for Licensee and staff to review the videos including, but not limited to: Supervising Children in Child Care Centers, Children’s Personal Rights in Child Care and Teacher-to-Child Ratios in Child Care Centers. Facility representatives state they understand that they need to abide by Health and Safety Code and Title 22 Regulations in the operation of their Child Care Center(s). Facility representatives were advised to regularly visit the Community Care Licensing WEB SITE: www.ccld.ca.gov for quarterly updates and regulation. Facility representatives states they are signed up to receive the PIN's. During the meeting, facility representatives were provided with the Childcare Advocate phone number: (916) 654-1541, sdincidentreports@dss.ca.gov for Unusual Incident/Injury reports, and the Duty Line phone number: 619-767-2248. A copy of this report, and above stated documents were provided to the facility representatives, Sandra Freni, and Ana Pacheco, at the conclusion of this meeting.