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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270365
Report Date: 10/09/2019
Date Signed: 10/09/2019 05:32:58 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270365
ADMINISTRATOR:LEIGH, SUMMERFACILITY TYPE:
840
ADDRESS:2515 EAST SOUTH STREETTELEPHONE:
(714) 774-5141
CITY:ANAHEIMSTATE: CAZIP CODE:
92806
CAPACITY:24CENSUS: 21DATE:
10/09/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Assistant Directro Barlett Amanda TIME COMPLETED:
05:45 PM
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An unannounced Annual / Random inspection was conducted on this date by Licensing Program Analyst (LPA) Ketki Desai . Upon arrival, LPA was greeted by staff in the lobby office and shortly the Assistant Director Ms Barlett Amanda came in and accompanied the LPA on a tour of the facility. LPA was informed the Director was on Medical Leave and is to return within the next 2 weeks. These is a School age Before and After care in assigned classroom # 5.

A review of staff records indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearance or exemption and a child abuse index clearances. All staff are cleared are associated to the central facility.

Census: Room # 5 : 21 school age children present with two teachers.

The Center's days and hours of operation are Monday- Friday 6.30 to 6.30 PM. Children are dropped off and picked up from school by the facility staff.

Posting requirements: All posting requirements were observed on the Parent Boards. The license, the snack and lunch menu, the Personal Rights, Child Passenger Safety Law, Notification of Parents Rights, Emergency disaster plan are posted on the Parent Board.

Physical Plant: Facility designee guided LPA on a tour of the facility, Classroom # 5 was observed, Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating and air-conditioning, lighting and ventilation were evaluated. Storage for children's belongings and toilets were inspected. The restrooms are inside the classroom, during outdoor play activities children use the restroom in classroom # 5 accompanied by the teacher. Availability of drinking water was reviewed , classroom was observed to have a Water fountain, children do have the option to bring in their own water bottle but the water should be viewable, there is also a water fountain in the play yard.
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 304270365
VISIT DATE: 10/09/2019
NARRATIVE
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Transportation: This facility does provide transportation services. There are two facility transportation vans and staff have completed the Safe Driver training. Children are dropped off and Picked up from school and brought back to the facility. Staff do sign them in and out.

An Emergency Disaster Drill log is posted. The last fire drill was ran 7-9- 2019 and Earthquake drill on 7-16-19 . Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met appropriately. Sign in and out sheets and procedures were reviewed with Director as was the policy of checking children for illnesses. Children are sign in / out by parents upon arrival and later during pick up time. Personal Rights of children were discussed and observed by LPA. Per Director, there are currently no firearms or weapons on the premises.


File review: A random sampling of six preschoolers' files and four staff files were reviewed for completeness, including, but not limited to Criminal Record Clearances for adults, qualifications and verification of CPR/First Aid for the openers and closers. All the files are kept in the main office . Emergency cards are available for review. Staff present on premises are current on Infant CPR/ First Aid along with Immunization's and Mandated Reporting training.

Deficiency cited per title 22 on today's inspection.

Upon receipt, Assistant Director Amanda Barlette posted the Notice of Site Visit.

The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in a $100 civil penalty.

An exit interview has been conducted with, and a copy of this report has been signed by and provided to Director.

Appeal Rights provided and explained to the Assistant Director.

SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 304270365
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/09/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/16/2019
Section Cited

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Sign In/ Out: The person who brings the child to, and removes the child from, the center shall sign the child in/out.
The above requirement is not met by evidence of reviewing sign in / out book for Room # 5, where three children were missing the signatures. This is a potential
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risk to Health and Safety of the children in care.
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Type B
10/11/2019
Section Cited

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Outdoor Activtiy Space: The surface of the outdoor activity space shall be maintained:
Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.
The above requirement is not met by evidence of cracked spaces observed
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through out the concrete play yard for Room # 5. ( Pictures taken) This poses a potential risk to Health and Safety to 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: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:
DATE: 10/09/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/09/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 304270365
VISIT DATE: 10/09/2019
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There is a Fire extinguisher, smoke and carbon monoxide detector mounted on the wall it was tested and is operable.

Play Yard: Room # 5 has an exit door leading to the play yard through the classroom. Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. There is concrete and grass on the playground, Water fountain observed. The playground is surrounded on one sides by a five foot high metal fence and two sides are with brink wall and one with a classroom wall. The play area was inspected for hazards and inaccessibility to bodies of water. The toys are stored in the locked shed. Concrete flooring was observed to have large cracks.

Food Service: The Center serves Breakfast / Lunch and PM snacks . Food is prepared on premises by the designated person . Food is served in a Family style dining. Monthly menu is posted. Kitchen was observed to be clean free of rodents or insects. Food service area remains inaccessible to children.

Napping: Children do have the option to nap or rest in the classroom . There are mats and linens are available for children. Mats are stored appropriately. Linens are provided by the center and are also washed on premises by the attending staff.

Health related Services: There is one First Aid Kit in classroom. Director and staff are trained by Health Educators who provide the needed IMS treatment to the child. The designated staff is the Health and Safety coordinator and provides additional training to staff in the facility. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Medications are stored in a locked medication box in the kitchen. Per staff currently there are no children receiving this treatment.

For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173, 101226. 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 athttp://www.ada.gov/childqanda.htm www.ada.gov/childqanda.html.

When the child is sick- DIrector's office is the Isolation area till the child is picked up and mat with linens are available.

SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4