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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401911
Report Date: 02/23/2021
Date Signed: 02/23/2021 03:30:26 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
073401911
ADMINISTRATOR:CRYSTAL BARRETTFACILITY TYPE:
850
ADDRESS:2850 CHERRY LANETELEPHONE:
(925) 943-6777
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94596
CAPACITY:53CENSUS: 32DATE:
02/23/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Crystal BarrettTIME COMPLETED:
03:30 PM
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On 02/23/21 Licensing Program Analyst (LPA) Monica Mathur investigated an unusual incident that was self reported on 02/05/21 by the Center Director, Crystal Barrett. The investigation was conducted using Zoom due to COVID-19 restrictions. Director reported that Child 1 (C-1) was left unattended and found alone and away from the rest of class while Staff 1 (S-1) transitioned 10 children from the classroom to the play yard. LPA conducted a virtual walk through, staff interviews and reviewed facility records. It was determined that C-1 walked away from rest of the children while transitioning and was found later by the Director in an isolated area within the facility premises. It was determined that C-1 was alone and unsupervised for at least 2-3 minutes. Due to ABSENCE OF SUPERVISION which is a zero-tolerance occurrence, a Type A deficiency is cited and Immediate civil penalty of $500 assessed on deficiency page 809-D.

It was also determined that S-1 was recently employed as an Aide and did not have any early childhood education units. As a result, it put them out of ratio when she took 10 children without the presence and direct supervision of a fully qualified teacher. CCL regulations require that an Aide should always be under the direct supervision of a fully qualified teacher and not be left alone with children. A Type A deficiency is cited for being OUT OF RATIO on deficiency page 809-D.

Review of records show that staff KRITI KUMARI was recently employed and went for Live Scan on 01/21/21 at a local UPS store. Director stated she was unaware of the new Guardian system for fingerprints and associations, did not use the system and did not have an account set up yet. Director did not confirm if staff was cleared and associated to the facility before assigning her in the classrooms from 02/01/21. She was associated on 02/02/21. A Type A deficiency and civil penalty of $100 ($100 per day for total of 1 day) is assessed for failing to obtain CRIMINAL RECORD CLEARANCE for staff prior to working with children.

CONTINUED ON NEXT PAGE 809-C. REPORT DATED 02/22/21
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 725-5998
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2021
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401911
VISIT DATE: 02/23/2021
NARRATIVE
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CONTINUED FROM PREVIOUS PAGE 809, REPORT DATED 02/22/21

Exit interview was conducted, and this report, citations, civil penalties, plans of correction and appeal rights were discussed with Director Crystal Barrett. Report shall be sent to her to obtain signatures. Signed copy of the report to be returned to CCL by end of 02/25/21.

Director was informed that a Non Compliance Conference with the Regional Office will be scheduled at a later date to discuss these deficiencies.

Due to the issuance of a Type A citations during today's inspection, a copy of this Licensing Report must be POSTED in the facility and PROVIDED to each existing parent by the end of today or next day child is in care. Report also must be provided to the parents of children who are enrolled over the next 12 months. In addition, a copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports must be signed by each parent and kept in each child's file. Requirements of AB633 were also discussed and a copy provided.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 725-5998
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2021
LIC809 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401911
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/25/2021
Section Cited

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101170 CRIMINAL RECORD CLEARANCE (e) All individuals subject to a criminal record review [...] shall prior to working, residing or volunteering in a licensed facility (1) Obtain a California clearance or a criminal record exemption [...]. This requirement is not met as evidenced by:
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Per LPA’s review of records, Staff KRITI KUMARI was employed and providing care and supervision to children for 1 day (02/01/21). She did not have criminal record clearances and was not associated to the license till 02/02/21. This poses an immediate risk to the health and safety of children in care. Civil Penalty of $100 per day for 1 day (total $100) is assessed.
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Due to the issuance of a Type A Citation during today's inspection, a copy of this Licensing Report must be POSTED and PROVIDED to each existing parent by the end of today or next day child is in care, and to the parent of cmust be signed by each parent and kept in each child's file.hildren enrolled over the next 12 months. In addition, a copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports
Type A
02/25/2021
Section Cited

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101229 RESPONSIBILITY FOR PROVIDING CARE & SUPERVISION (a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time […]. Supervision shall include visual observation. This requirement is not met as evidenced by:
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Per LPA’s investigation, there was absence of supervision when C-1 was left unsupervised in an outdoor area for at least 2-3 minutes while other children and S-1 were transitioning to the yard. This poses an immediate risk to the health and safety of children in care; is a zero-tolerance deficiency with an immediate civil penalty of $500.
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CCLD website:
www.ccld.ca.gov
A Non Complaince Conference will be scheduled with the Regional Office at a later date.
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: Sherelle JohnsonTELEPHONE: (510) 725-5998
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2021
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401911
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/24/2021
Section Cited

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101216.3 TEACHER CHILD RATIO (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance […]. This requirement is not met as evidenced by:
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Per LPA’s investigation, S-1 is not a fully qualified teacher, does not have any ECE units. S-1 was supervising 10 children without the presence and direct supervision of a fully qualified teacher, therefore was out of ratio. This poses an immediate risk to the health and safety of children in care.
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CCLD website:
www.ccld.ca.gov

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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: Sherelle JohnsonTELEPHONE: (510) 725-5998
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2021
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401911
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/12/2021
Section Cited

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101216.2 TEACHER AIDE QUALIFICATIONS & DUTIES (e) An aide shall work only under the direct supervision of a teacher. This requirement is not met as evidenced by:
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Per LPA’s investigation, no fully qualified teacher was present or directly supervising S-1 and 10 children during transition and outdoor play. This poses a potential risk to health and safety of 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: Sherelle JohnsonTELEPHONE: (510) 725-5998
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2021
LIC809 (FAS) - (06/04)
Page: 5 of 5