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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005944
Report Date: 12/20/2024
Date Signed: 12/20/2024 04:29:55 PM

Document Has Been Signed on 12/20/2024 04:29 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198005944
ADMINISTRATOR/
DIRECTOR:		JENNIFER HOLLANDSWORTHFACILITY TYPE:
850
ADDRESS:5251 E. LAS LOMASTELEPHONE:
(562) 961-8882
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY: 117TOTAL ENROLLED CHILDREN: 102CENSUS: 84DATE:
12/20/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Administrator Monica Gonzalez and Administrator Assistant Vivan Franco.TIME VISIT/
INSPECTION COMPLETED:
04:35 PM
NARRATIVE
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Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced Annual Required Inspection and met with Administrator Assistant Vivan Franco. LPA disclosed the purpose of the inspection and was granted entry into the facility by Administrator Assistant.

This is a Preschool Program serving children ages 2-5 years with toddler component 12 toddlers ages 18-36 months. The current hours of operation are: Monday through Friday 6:30am to 6:30pm. The preschool program is physically separate from an infant program housed on campus.

LPA Calderon provided V.Franco with Entrance Checklist for Child Care Centers LIC125. On 12/16/24 LPA Calderon spoke with Assistant Administrator Vivan Franco and provided information regarding licensing fee balance that have not been paid for based on record review. On today's visit LPA Calderon followed up with Vivan Franco, if the facility was able to pay their licensing fee yet. At 10:02am Vivan Franco stated trying to reach person in charge of paying licensing fee's and I haven't hear back. Annual licensing fee's are not paid, deficiency cited.



Administrator Assistant Vivan Franco assisted analyst with a tour of the facility. During LPA's tour of the facility, it was observed that Room 7 is used for the Toddler Component. Room 1,2,4,5,6 was observed to be used for preschool age children. All room's were observed to be in ratio. Per Assistant Administrator classroom #3 is a Learning Adventure Room that offers parents option to enroll children in the extra curriculum that go over Phonics and Cooking activities. All staff were fingerprinted cleared based on record reivew..

Children have adequate cubby storage for their belongings. LPA observed drinking water in pitcher with drinking cups readily available in the classrooms on carts or refrigerated. Per V.Franco carts are transported to take outside for children to have water during outdoor play. (page 1/4)

Denise GibbsTELEPHONE: (323) 981-3350
Ashley CalderonTELEPHONE: (323) 981-3350
DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198005944
VISIT DATE: 12/20/2024
NARRATIVE
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At 10:38am and 10:57am children cots in classrooms was observed to have bedding of children's not individually stored, deficiency cited. Pictures taken. LPA observed each classroom having a schedule posted outside the classrooms.

LPA observed telephone service, heating and ventilation to be satisfactory. LPA observed age appropriate restrooms, sinks and toilets were inspected for good repair, safety and sanitation. There are sufficient sink and toilets available for children in care. Per Adminsitrator Monica Gonzalez there are no poisons stored at the facility. Per V.Franco there are no children on medications, no firearms stored in the facility and facility does not provide transportation. LPA observed disinfectants, cleaning solutions, other items that are dangerous to children are locked and/or inaccessible in classrooms and/or in bathrooms.

Outdoor play area was observed. Room 7 due to age, uses playground that is used for the Infant licensed. Per V.Franco all classrooms (Room 7,8 and 9) use the outdoor play area on different outdoor play schedule. Areas around and/or under climbing equipment have cushioning material to absorb a fall. All other preschool classrooms share 5 outdoor play space, currently basketball court yard is not being used. Classrooms have their scheduled outdoor play time. No bodies of water observed at the facility.

Smoke detectors were not tested during this visit due to the detectors being wired to the emergency pull down fire alarm. Carbon monoxide detector was not tested due to children napping, LPA observed carbon monoxide in classroom(s). Emergency Disaster and fire Drill logs were reviewed, last date of drill 11/1/24.

The office is used as an isolation area for ill children and there are portable cots and chairs for rest if necessary. Parents are contacted immediately if children are ill

LPA observed kitchen area. Snacks were reviewed for availability, quantity, expiration dates and appropriateness for children in care. The facility provides an AM snack, lunch and a PM snack. LPA observed the food and kitchen area appear to be in safe and sanitary condition. LPA observed food menu posted where it is visible by the child's authorized representative near kitchen and in the hallway near the entrance/exit. LPA observed trash receptacles that have tight fitting covers. Children with allergies are provided with alternatives foods and or parents bring in foods. (page 2/4)

SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Ashley CalderonTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
LIC809 (FAS) - (06/04)
Page: 4 of 7
Document Has Been Signed on 12/20/2024 04:29 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198005944

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Napping Equipment
(c) Each cot or mat shall be equipped with a sheet to cover the cot or mat and, depending on the weather, a sheet and/or blanket to cover the child. (2) Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation cots were stacked up with bedding that was observed not to be individually stored, the licensee did not comply with the section cited above in [2] out of [6] set of cots which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/20/2025
Plan of Correction
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Administrator will have a plan and/or buy necessary supplies to ensure each child bedding is individually stored and will provide pictures to LPA Calderon by POC due date.
Section Cited
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation during record review staff #4 did not have vaccination for Tdap and MMR on file, the licensee did not comply with the section cited above in [1] out of [1] vaccination record in staff file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/20/2025
Plan of Correction
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Administrator stated Staff #4 last day today, LPA asked to send proof of separated date from facility or vaccination records if staff remains at the facility by poc due 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.
Denise GibbsTELEPHONE: (323) 981-3350
Ashley CalderonTELEPHONE: (323) 981-3350

DATE: 12/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2024

LIC809 (FAS) - (06/04)
Page: 2 of 7
Document Has Been Signed on 12/20/2024 04:29 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198005944

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Personnel Requirements
(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review Administrator and Staff #1- Staff #3 did not have Health Screening form, the licensee did not comply with the section cited above in [4] out of [4] record review for staff which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/20/2025
Plan of Correction
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Administrator will have (3) staff and themselves seek medical professional to obtain form LIC503 and will send documentation's to LPA Calderon by POC due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Denise GibbsTELEPHONE: (323) 981-3350
Ashley CalderonTELEPHONE: (323) 981-3350

DATE: 12/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2024

LIC809 (FAS) - (06/04)
Page: 3 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198005944
VISIT DATE: 12/20/2024
NARRATIVE
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LPA Calderon conducted staff file review at 11:45am M.Gonzalez was assisting with staff files. LPA did not observe Administrator M.Gonzalez Health Screening form LIC503. M.Gonzalez was unable to provide LPA Calderon with documentation. At 11:50am-11:55am M.Gonzalez informed LPA Calderon not sure if they had one done and will follow up with doctor. At 11:58am LPA Calderon reviewed Staff #1 file and did not observe Health Screening form , LPA Calderon took pictures of checklist of documentation's that is observed to not have a check mark next to the health screening form. At 12:23pm LPA reviewed Staff #2 file, LPA did not observe Health Screening form on file, picture taken of checklist with Health Screening not checked off. At 12:25pm LPA asked Admin. M.Gonzalez if the documentation does not have a check mark on the checklist form does that mean they don't have that document on file. Admin M.Gonzalez stated yes I believe so. Staff #3 file was reviewed and missing Health Screening form, 12:47pm checklist documentation picture taken. Staff #4 is missing Pertussis and Measles Vaccination, no record on file, checklist picture taken, deficiencies cited.

LPA observed the facility has digital sign in and sign out sheets to ensure children are being properly signed in and signed out by the authorized representative. Children Roster was observed electronically, LPA provided Child Care Facility Roster LIC9040. LPA provided Departments Lead Sampling - All Results for facility to post.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.



Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

(page 3/4)
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Ashley CalderonTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
LIC809 (FAS) - (06/04)
Page: 6 of 7
Document Has Been Signed on 12/20/2024 04:29 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198005944

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
(a) (1) An application fee adjusted by facility and capacity shall be charged by the department for the issuance of a license to operate a child day care facility. After initial licensure, a fee shall be charged by the department annually, on each anniversary of the effective date of the license. \
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review LIS shows Licensing Fee Status: No (not paid) , the licensee did not comply with the section cited above in [1] out of [1] licensing payment which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/27/2024
Plan of Correction
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Administrator Monica Gonzalez or Assistant Administrator will keep trying to attempt to reach Licensee's / Facility Owners to pay licensing fee's. A copy of the payment receipt will be sent to LPA Calderon via email by POC due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Denise GibbsTELEPHONE: (323) 981-3350
Ashley CalderonTELEPHONE: (323) 981-3350

DATE: 12/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2024

LIC809 (FAS) - (06/04)
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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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198005944
VISIT DATE: 12/20/2024
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LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/. PIN 22-05-CCP Page Five

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Due to insufficient time, LPA Calderon will return at a later time to conduct staff interview and to conduyct children file review and to complete Care Tool.

Per California Code of Regulation Title 22, (4) deficiency cited.

During the exit interview, the Administrator Monica Gonzalez, confirmed that there are no Registered Sex Offenders in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was provided to Administrator facility must remain posted for 30 days.

Exit interview conducted and report was reviewed with Administrator Monica Gonzalez and a copy of this report and Appeal Rights were provided. (Page 4/4)
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Ashley CalderonTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
LIC809 (FAS) - (06/04)
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