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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270387
Report Date: 03/13/2020
Date Signed: 03/13/2020 04:24:38 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:
304270387
ADMINISTRATOR:MOSES, DIANNEFACILITY TYPE:
830
ADDRESS:9945 SLATER AVENUETELEPHONE:
(714) 968-4451
CITY:FOUNTAIN VALLEYSTATE: CAZIP CODE:
92708
CAPACITY:28CENSUS: 17DATE:
03/13/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Administrator Moses DianneTIME COMPLETED:
04:45 PM
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Licensing Program Analyst (LPA) Ketki Desai conducted an unannounced annual inspection in accordance with Community Care Licensing (CCL) Title 22 Division 12 Chapter 1, governing Infant Child Care Centers. Licensing staff met with designated facility Director Moses Dianne who gave a tour of the facility. This is an infant program licensed for 28 infants ages 6 weeks to 24 months. The facility operates Monday – Friday from 6:30 AM – 6:30 PM.
The infant parents will have to pass through main office and hallway to drop off their child. LPA’s also observed sign in sheets for the enrolled children in the main lobby area. Per Title 22, The licensee shall require the child's authorized representative to remain in the center until the daily inspection for illness is completed and the child is accepted for care.

Census : There are 17 infants in the two assigned rooms. Room 1 ( Infants 6 weeks to 12 months) : 9 infants observed. One infant was in the crib area, staff was able to observe the infant through the flexi glass frame. There was no staff inside the crib area. Other 8 infants were in the play area with three staff members. Room # 2:( Toddler room: 12 months and above) 8 infants napping with two staff . Infants were observed to be napping on cots. Staff name were recorded. All infants were observed by LPA to be under visual supervision of a teacher at all times. The Licensee is within the conditions, limitations, and capacity specified on the license.

At this time, the office is used as an isolation area. When infant is determined to be ill is brought into the office and the staff remains with the infant and parents are contacted immediately.

Furniture and equipment was inspected for age appropriateness, free of sharp, loose, or pointed parts. Storage for infants’ belongings and napping equipment/cribs was inspected and meet all regulatory requirements. Availability of drinking water was reviewed. The children have their own sippy-cups with their names written on them.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
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: 304270387
VISIT DATE: 03/13/2020
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Changing table has raised sides at least three inches high and is within an arm’s reach of a hand washing sink. Toys observed to be clean. Indoor classroom was inspected to ensure that the floors have a surface that is safe and clean.
A first aid kit is kept in each classroom. Carbon monoxide detectors and smoke detectors are present in the facility. Fire extinguishers are serviced monthly by the Maintenance department of the AQMD complex. Storage cabinet in classrooms was locked and hazardous items including poisonous cleaning compounds are stored in the janitor's closet which is located at the end of the school, remains inaccessible to children.

Infants bedding materials are provided by school , they are changed daily or as needed. if needed Center does provide an additional linen. All the linens are washed on premises. Storage for children's belongings was reviewed. Food preparation areas were toured for safety, cleanliness and proper equipment. Meals are provided by parents only. Bottles, dishes, and containers were labeled with infants’ names were visible on all children's bottles and other refrigerated items. A current menu was posted. Food prep areas appear clean and sanitary. The facility takes measures to keep the facility free of flies, other insects, and rodents. Food is properly stored. Bottles and food containers brought from home are properly labeled with name and date. Trash receptacles containing solid waste have tight fitting lids. Firearms and other weapons are not allowed or stored on the premises.

Outdoor equipment was inspected for safety, cushioning material, good repair and appropriateness. Required shade, drinking water and fencing were inspected. The playground is completely fenced and fencing is in good repair. The playground equipment appeared in safe condition, and the play area is free from hazards.

There is sufficient cushioning (soft Rubber cushioning underneath climbing structures and play equipment to absorb falls. Sign in/out procedure was reviewed for compliance.

LPA Desai advised Facility Director that the infants need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. Infants use their own sippy-cups with their name written on the cups when outdoors. Play area was inspected for hazards and inaccessibility to bodies of water. No hazards observed.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
LIC809 (FAS) - (06/04)
Page: 2 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: 304270387
VISIT DATE: 03/13/2020
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Teacher-infant ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of infants are met and appropriate. Infant Needs and Assessments are done quarterly or updated as needed. Sign-in and out sheets and procedures were reviewed. Personal Rights of infants were observed by LPA. Staff and Infant Records were reviewed for completeness. Inspection of required forms made. Director stated there is a always a staff in the crib room when there is napping infant(s).

Incidental Medical Services (IMS) policy was discussed. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 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 at: http://www.ada.gov/childqanda.htm

Staff files for staff present during LPA’s inspection were reviewed for a personnel record (LIC 500), education requirements, health screening (LIC 503), criminal record statement (LIC 508), employee rights (LIC 9052), TB test, immunization’s and mandated reporter training. At least one staff member present posses a current First Aid/CPR certification which expires 09/2020.



Personnel files reviewed show infant care teachers have completed at 3 units in early childhood education related to the care of infants. Proof of immunization's against pertussis and measles for all employees/volunteers were reviewed for compliance with SB 792. Beginning March 31, 2018, Health and Safety Code 1596.8662 requires all directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years, per A.B. 1207. In the areas reviewed, the 3 infant/Toddler staff files reviewed were found to be in substantial compliance.

A copy of the 2016 “A Child Care Providers Guild to Safe Sleep” was provided to the facility representative.

English: https//www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf

Spanish: https//www.cdph.ca.gov/programs/SIDS/Documents/ChildCareProvSleepSPAN2011.pdf

SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
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: 304270387
VISIT DATE: 03/13/2020
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AAP: https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx

NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative

Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials

· Always place infants on their backs for sleeping


· Use only a tight-fitting sheet on the crib or play yard mattress
· Do not hang any items from the crib or above the crib
· Keep all items, including blankets, out of the crib or play yard
· Pacifiers may be used as long as they do not have items attached to them
· Infants should not be swaddled or have any items covering them while sleeping
· The temperature of the room should be comfortable enough for an adult to wear a t-shirt and not be too hot or too cold
LPA reminded the Director to ensure, Infants are not left unattended at any time and supervision is provided.

Provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org

The facility representative was informed that the CRIMINAL RECORD STATEMENT (LIC 508) has been updated, and the facility must now use the new form with revised date 7/15. The facility representative was also informed that the LIC 508 must be submitted with all Criminal Background Clearance Transfer Request (LIC9182). The facility representative was informed that Licensing Updates are available at www.ccld.ca.gov

In the areas that were evaluated, there were no deficiencies observed under California Code of Regulations, Title 22, Division 12 at the time of the visit.



Exit interview was conducted. The report was reviewed and discussed. Appeal Rights discussed and provided to the facility Director.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4