304270341-12-7-2022-06-CC-MMAK-CLVS3B-20221207123049

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304270341
Report Date: 12/07/2022
Date Signed: 12/07/2022 12:30:55 PM

Document Has Been Signed on 12/07/2022 12:30 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	304270341
ADMINISTRATOR:	STAHL, VANESSA		FACILITY TYPE:	840
ADDRESS:	3223 ASSOCIATED ROAD		TELEPHONE:	(714) 990-6924
CITY:	FULLERTON	STATE: CA	ZIP CODE:	92835
CAPACITY:	42	CENSUS: 0	DATE:	12/07/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Director		TIME COMPLETED:	01:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Page 1 of 2 Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a case management inspection of the facility for the purpose of decreasing capacity from 42 school age children to 28 school age children by taking Room # 7 off and add it to the preschool Program. LPA met with director, Vanessa Stahl who toured the facility with. There were no school age children present during inspection. According to director, there are 21 school age children present on average. Currently the facility is licensed for 42 school age children in rooms # 7 and 10. The licensee has requested to provide care and supervision for 28 children in room # 10 only to ages 5 to 12 years old, Monday through Friday, 6:30 a.m. to 6:30 p.m. A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Office area is located at the entrance of the building and will serve as the isolation area for ill children temporarily until parents arrive. The staff/adult restroom will be used as the isolation restroom for ill children and is conveniently located close to the isolation area. This facility provides Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Continued on page 2

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 703-2741
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 304270341
	VISIT DATE: 12/07/2022

NARRATIVE

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The indoor activity space measurement is as follows:

Room # 10: 1122 sqft divided by 35 sqft is 32.05 (32 children)

Total outdoor activity space measurement is as follows:
School age Yard: 6336 sqft divided by 75 sqft = 84.48 (84 children)

Total children toilets and sinks:
Toilet: 2 x 15 = 30 children
Sink: 2 x 15 = 30 children

The facility was in compliance with Title 22 requirements at the time of the inspection. Orange county Fire authority has approved the requested capacity of 28 school age children. Based on today’s measurements, and the sinks and toilets availability, the request of the facility for decreasing capacity to 28 children will be final reviewed and discussed with management in the Regional Office. The facility will be notified if any additional information is required.

Notice of Site Visit must be posted for 30 days or $100 civil penalties will be assessed.
An exit interview was completed. The report was reviewed and discussed. Appeal Rights were discussed. The applicant was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days.

End of report

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 703-2741
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

LIC809 (FAS) - (06/04)

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