304270926-11-3-2022-06-CC-DTHN-CKTQK3-20221103121339

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304270926
Report Date: 11/03/2022
Date Signed: 11/03/2022 12:13:45 PM

Document Has Been Signed on 11/03/2022 12:13 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:	304270926
ADMINISTRATOR:	STEPHANIE STRAND		FACILITY TYPE:	850
ADDRESS:	855 PASEO WESTPARK		TELEPHONE:	(949) 262-0260
CITY:	IRVINE	STATE: CA	ZIP CODE:	92604
CAPACITY:	128	CENSUS: 57	DATE:	11/03/2022
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Stephanie Strand		TIME COMPLETED:	12:40 PM

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Licensing Program Analysts (LPA's ) Thompson and Lucero conducted an on-site inspection for the purpose of a Case Management Incident Inspection on 11/3/22. LPA Thompson met with Director Stephanie Strand. There was a total of 57 preschool children and 8 staff at the time of visit.

A review of staff criminal clearance records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Today's Case Management inspection is being conducted in response to a self reported incident, reported to the OC CCL office on 10/24/22, detailing a child #1 (C1) was left alone on the Pre-K playground at approximately 5:15 PM. C1 was observed by parent and then notified office staff.

During the inspection, LPA interviewed Director and staff (S1) who was directly involved in the incident, as well as inspected the area where C1 was left alone. LPAs reviewed the Incident Report with facility Director Stephanie Strand. It was determined C1 was left alone on the play yard for approximately 8 minutes without supervision.

Based on LPA’s interview with the Director and record review, the following violation is being cited in accordance with California Code of Regulations, Title 22, Division 12, 101229(a)(1) Responsibility for Providing Care and Supervision is being cited on the attached LIC 809D.

LPA Thompson informed Director Stephanie Strand that this report dated 11/3/2022 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

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SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022

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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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: 304270926
	VISIT DATE: 11/03/2022

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Also, LPA Thompson informed the Director Stephanie Strand to provide a copy of this licensing report dated 11/3/2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the Director Stephanie Strand . A notice of site visit was given and must remain posted for 30 days.

Appeal Rights were explained. The Director was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/03/2022 12:13 PM - It Cannot Be Edited

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: 304270926
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/03/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 11/17/2022 Section Cited	1 2 3 4 5 6 7	101229(a)(1) Responsibility for Providing Care and Supervision. (a) The licensee shall provide care and supervision as necessary to meet the children’s needs. (1) No child(ren) shall be left without the supervision of a teacher at any time…….
	8 9 10 11 12 13 14	This requirement is not met as evidence by: Based on LPAs interviews with Director and S1, it was determined C1 was left on the play yard alone for approximately 8 minutes and was discovered by a parent from the parking lot entering the facility. This poses an immediate safety risk to the children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022

LIC809 (FAS) - (06/04)

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