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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334804442
Report Date: 03/11/2024
Date Signed: 03/11/2024 11:23:12 AM


Document Has Been Signed on 03/11/2024 11:23 AM - 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334804442
ADMINISTRATOR:FLORES, BLANCAFACILITY TYPE:
840
ADDRESS:24369 SKYVIEW RIDGE DRIVETELEPHONE:
(951) 696-0825
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:42CENSUS: 0DATE:
03/11/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Blanca FloresTIME COMPLETED:
11:35 AM
NARRATIVE
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On March 11,2024 at 10:20 PM Licensing Program Analyst (LPA) Courtnee Peebles arrived unannounced at Kindercare Learning Center (CCC) to conduct a case management visit. On 02/15/2024 CCLD received an unusual incident report stating Child 1 (C1) was left unattended in the school age classroom and was found by S2. Facility records were reviewed, four staff were interviewed Director (D), Staff 1(S1), Staff 2(S2), Staff 3(S3), Staff 4(S4). Based on information gathered, Title 22 regulation 101229(a)(1) has been violated.

Based on interviews, C1 was left unsupervised inside of the classroom when C1 was allowed to transition from outside to inside to obtain slime, when S1 accidentally closed the door forgetting C1 inside of the classroom for approximately 1 to 3 minutes. C1 was found by S2 and taken back outside to S1. In addition, S1 has since been coached and made aware of alternative methods to ensure children are supervised at all times. The facility is being cited under Title 22 regulation 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,(1). Supervision shall include visual observation.

An exit interview was conducted and copy of this report was provided to Director, Blanca Flores.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Courtnee PeeblesTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2024
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 2


Document Has Been Signed on 03/11/2024 11:23 AM - 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501


FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334804442

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/15/2024
Section Cited
CCR
101229(a)(1)

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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,(1). Supervision shall include visual observation.This requirement was not met as evidenced by:
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Director has since coached S1 on the importance of supervising children at all times. S1 will ensure there is a staff member inside and outside enabling constant supervision.
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Based on interviews C1 was left unsupervised inside the classroom while transitioning from outside to inside to obtain slime which poses a potential health, safety or personal rigths risk 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: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Courtnee PeeblesTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2