334804332-9-6-2024-09-CC-TDIP-D8UTG7-20240906144241

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334804332
Report Date: 09/06/2024
Date Signed: 09/06/2024 02:42:57 PM

Document Has Been Signed on 09/06/2024 02:42 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	334804332
ADMINISTRATOR:	BRANDIE RUBALCABA		FACILITY TYPE:	850
ADDRESS:	5445 CANYON CREST DRIVE		TELEPHONE:	(951) 683-1626
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92507
CAPACITY:	96	CENSUS: 44	DATE:	09/06/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Brandie Rubalcaba		TIME COMPLETED:	02:45 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	On 09/06/2024 at 8:45 AM, Licensing Program Analyst (LPA) Tiffanie Diep arrived at the facility to conduct an annual inspection. LPA toured the facility inside and out, records were reviewed, and the following was observed and/or discussed: This is a combination center and the other licensed program is infant (334804334), which was inspected on 01/12/2024. Normal days and hours of operation are Monday through Friday from 6:30 AM to 6:30 PM. A review of staff and children's records was conducted as part of this evaluation. The facility was operating with the limits as stated on the license. Ratios were being met during the inspection. Classrooms were adequately equipped with age and size-appropriate furniture and equipment and free of hazards. There are no weapons present at the facility per Director Brandie Rubalcaba. Director confirmed there are no accessible bodies of water present at this time. All wading pools or similar products must be emptied immediately after use. Uncontaminated drinking water was readily available both indoors and outdoors and provided by water fountains and filtered water in water jugs. Children also bring their own water bottles to the facility. Water testing for lead contamination was completed on 11/12/2022. Medications were stored where inaccessible to children. All hazardous items, such as disinfectants, cleaning solutions, and other items that could pose a danger were stored inaccessible to children. All floors were observed to be clean and safe. Restrooms were observed to be safe, sanitary, and in operating condition. Outdoor activity area was supplied with age and size-appropriate equipment in good condition. Continues on LIC 809-C

SUPERVISOR'S NAME: Ana Noble	TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Tiffanie Diep	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2024

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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 334804332
	VISIT DATE: 09/06/2024

NARRATIVE

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Continued from LIC 809 (Page 2)

Playground was enclosed by appropriate fences and free of hazards.
Food preparation area was clean, free of litter, rubbish, and free of rodents and other vermin.
Food was stored appropriately and protected from contamination.
All storage containers for solid waste, including moveable bins, had tight-fitting covers that were kept on and in good repair.
The areas around or under high climbing equipment, swings, slides, and similar equipment were cushioned with material that absorbs a fall, which was rubber mats.
Sign-in/out records were reviewed and met regulation requirements.
Children’s records were complete.
Staff records reviewed during today’s inspection indicate that all facility staff or other individuals who require caregiver background checks have received all required clearances or exemptions and meet minimum qualifications for the position for which they were hired. During record review, LPA did not observe all required immunizations for two out of six staff present. LPA reminded Director to maintain documentation of the required immunizations for all employees and volunteers.
A staff member was present with current pediatric CPR and first aid certification which expires on 10/14/2024.
Director’s Mandated Reporter Training certificate expired on 07/05/2024. LPA observed expired Mandated Reporter Training certificates for four additional staff present. LPA discussed the mandated reporter training requirement and Director was reminded to ensure all staff renew the course every two years.
Documentation of fire and disaster drills was on file; last drill was conducted on 08/28/2024.
Director was informed of their reporting requirements and was provided with the Regional Office’s Unusual Incident Reporting e-mail at UnusualIncidentReportsDO09@dss.ca.gov.
Director can submit transfer forms to associate new individuals or to disassociate someone from the facility via e-mail to Associations_Disassociations862@dss.ca.gov.
The Duty Officer is available to answer questions Monday through Friday from 8:00 AM to 5:00 PM at (951) 782-4200.

SUPERVISOR'S NAME: Ana Noble	TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Tiffanie Diep	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2024

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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 334804332
	VISIT DATE: 09/06/2024

NARRATIVE

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Continued from LIC 809-C (Page 3)

The following items were posted and updated where necessary:

License
Emergency Disaster Plan (LIC 610) and Earthquake Preparedness Checklist (LIC 9148)
Notification of Parents' Rights poster (PUB 393)
Personal Rights (LIC 613A)
California Child Passenger Safety Law (PUB 269)
Menu

The director is asked to update the following documents, if applicable, and submit to Licensing within 30 days:

Designation of Facility Responsibility (LIC 308) (only if changes have been made)
Administrative Organization (LIC 309) (only if changes have been made)
Personnel Report (LIC 500)
Emergency Disaster Plan (LIC 610)
Parent Handbook/Program Curriculum/Admission policies and procedures/Fee schedule (only if changes have been made)

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of five days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every five years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

SUPERVISOR'S NAME: Ana Noble	TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Tiffanie Diep	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2024

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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 334804332
	VISIT DATE: 09/06/2024

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Continued from LIC 809-C (Page 4)

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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at https://www.ada.gov/resources/child-care-centers/.

To improve the quality and value of the new inspection process, a survey may be sent to the e-mail address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE Tool, please send e-mail inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process. Director was informed of the MyChildCarePlan.org website, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Based on LPA’s observations and records reviewed, deficiencies are being cited on the attached LIC 809-D. LPA Tiffanie Diep informed the director, Brandie Rubalcaba, that this report dated 09/06/2024 documents two Type B citations as there were potential risks to the health and safety of children in care.

An exit interview was conducted and report was reviewed with the director, Brandie Rubalcaba. A notice of site visit was given to Director and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

SUPERVISOR'S NAME: Ana Noble	TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Tiffanie Diep	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/06/2024 02:42 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 334804332
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/06/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observations and records reviewed, the director did not comply with the section cited above as director did not ensure mandated reporter trainings were completed by the expiration dates for five out of six staff present which poses a potential safety risk to children in care.
	POC Due Date: 10/04/2024
	Plan of Correction
1 2 3 4	LPA discussed the mandated reporter training requirement and Director was reminded to ensure all staff renew the course every two years. Director agreed to provide completed certificates for S1, S2, S4, S5, and themselves to LPA by 10/04/2024.

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observations and records reviewed, the director did not comply with the section cited above as director did not ensure all required immunizations were maintained for two out of six staff present which poses a potential health risk to children in care.
	POC Due Date: 10/04/2024
	Plan of Correction
1 2 3 4	LPA discussed the requirement to maintain documentation of the required immunizations for all employees and volunteers. Director agreed to provide proof of required immunizations for S3 and S5 to LPA by 10/04/2024.

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: Ana Noble	TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Tiffanie Diep	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2024

LIC809 (FAS) - (06/04)

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