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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008241
Report Date: 04/21/2022
Date Signed: 04/21/2022 01:32:39 PM


Document Has Been Signed on 04/21/2022 01:32 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198008241
ADMINISTRATOR:MARICRUZ FLORESFACILITY TYPE:
840
ADDRESS:10704 SCOTT AVE.TELEPHONE:
(562) 947-7100
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY:30CENSUS: 0DATE:
04/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Maricruz FloresTIME COMPLETED:
01:50 PM
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An unannounced Required Annual Inspection was conducted on this day by Licensing Program Analysts (LPAs) Carolyn Tuba and Judy Mora. Facility is currently licensed for a capacity of 30 School Age Children ranging from 5 to 12 years of age. At the time of arrival there were no children or school-age staff present. Licensing staff met with Director, Maricruz Flores who guided LPAs on an indoor and outdoor tour of the facility. The program currently operates Monday thru Friday from 6:15 am - 7:30 am and 2:30 pm - 6:00 pm, Tuesday 1:00 pm - 6:00 pm and 4th Thursday of the month 1:00pm - 6:00 pm on school days only. There is presently a licensed infant and preschool program being conducted physically in separate areas both indoor and outdoors.

All areas identified on the Facility Sketch were inspected and checked the following: Fingerprint clearances, staff/child ratio, children and staff records were reviewed. There is a food preparation area, storage and refrigeration. There is a boys and girls restroom with 1 toilet in each restroom and 2 age appropriate sinks in good repair, water temperatures, toilet paper, paper towels, area safety and sanitation. Equipment, outside play area and overall conditions of facility, furniture were inspected for age appropriateness and good repair. There is telephone service, heating, lighting and ventilation were evaluated. Appropriate storage for children's belongings and an isolation area with a sink, and toilet are located in the director's office. Water jugs and drinking cups are available for the children and was reviewed. First Aid supplies were inventoried.

LPAs observed required forms to be posted on the Parent Board located near the entrance of the facility. LPAs observed the following: Facility License, Snack Menus, LIC 913A Personal Rights, PUB 269 Child Car Seat Poster, PUB 369 Notification Of Parent's Rights and LIC 610 Emergency Disaster Plan. LIC 9148 Earthquake Preparedness and Verification of Disaster and Fire Drills were reviewed.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 04/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/21/2022
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 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198008241
VISIT DATE: 04/21/2022
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Smoke detectors and Carbon Monoxide are present in the facility and were tested and operating. Fire extinguisher was serviced on January 4, 2022. Snack menus were reviewed and facility provides an afternoon snack to children.

Director, was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director, Maricruz Flores.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2022
LIC809 (FAS) - (06/04)
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