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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
304270380
Report Date:
08/15/2019
Date Signed:
08/15/2019 09:29:51 AM
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 CENTER
FACILITY NUMBER:
304270380
ADMINISTRATOR:
NEHEZ, REBECCA
FACILITY TYPE:
830
ADDRESS:
25507 MOULTON
TELEPHONE:
(949) 470-0099
CITY:
ALISO VIEJO
STATE:
CA
ZIP CODE:
92656
CAPACITY:
24
CENSUS:
8
DATE:
08/15/2019
TYPE OF VISIT:
Case Management - Licensee Initiated
UNANNOUNCED
TIME BEGAN:
08:15 AM
MET WITH:
Kayla Mills
TIME COMPLETED:
09:45 AM
NARRATIVE
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A case management inspection was made today by Licensing Program Analyst (LPA) Connolly due to licensee's request to convert a licensed infant room utilized as a infant toddler room to an infant room with cribs.
At the time of arrival the LPA met with assistant director Kayla Mills who accompanied the LPA on a tour of the infant center. Census was taken. There were 8 infants in care with 4 attending staff.
The activity space of the redesigned infant room was measured. The activity area measures a total 315 feet. The activity area accommodates nine infants. The room is approved per licensee request.
No deficiencies cited.
An exit interview was completed. The report was reviewed and discussed. Appeal Rights were discussed.
The facility representative 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.
The Notice of Site Visit was posted. The assistant director was informed that the Notice of Site Visit is to be posted for 30 consecutive days. Failure to post can result in a civil penalty.
SUPERVISOR'S NAME:
Rina Lopez
TELEPHONE:
(714) 703-2808
LICENSING EVALUATOR NAME:
Gesine Connolly
TELEPHONE:
(714) 293-9314
LICENSING EVALUATOR SIGNATURE:
DATE:
08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/15/2019
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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