334808839-5-17-2023-09-CC-EJOS-CRWTLV-20230517145010

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334808839
Report Date: 05/17/2023
Date Signed: 05/17/2023 02:50:19 PM

Document Has Been Signed on 05/17/2023 02:50 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	334808839
ADMINISTRATOR:	IVAMAE HANEY		FACILITY TYPE:	850
ADDRESS:	1655 HIDDEN VALLEY PARKWAY		TELEPHONE:	(951) 898-5677
CITY:	CORONA	STATE: CA	ZIP CODE:	92879
CAPACITY:	102	CENSUS: 64	DATE:	05/17/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:			TIME COMPLETED:	03:00 PM

NARRATIVE

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Licensing Program Analysts (LPAs) Elyse Jones and Claudia Caywood arrived at the facility to conduct a Case Management-Incident inspection in response to the receipt of an Unusual Incident report (UIR). The UIR was received by the licensing agency on May 9, 2023 via phone call. The UIR documented an incident involving a child being left alone, without supervision, on the preschool playground. A facility tour was conducted and census were taken. Interviews were conducted and documentation was collected.

The following information was gathered/disclosed by interviews and documents obtained: Around 4:00PM there were two staff outside on the preschool playground with nine children. Staff 1 was by the door holding a crying child while attempting to gather all the children to get in line to go back inside of the classroom. Staff 2 observed Child 1 under the slide and called him/her to the line but did not realize he/she never got in line due to tending to another child who was also crying. As the class was going inside the Director was conducting census and when she went out to the School Age playground she noticed Child 1 outside under the slide. The Director immediately walked to the preschool playground and walked the child to the classroom. Staff 1 and Staff 2 stated, the incident occurred due to them being distracted with the crying children, not completing the Name to Face and rushing to get PM diapers done before the children went home. As a result, Staff 1 and Satff 2 were given additional training on transitioning children to/from the playground.

Based on the information gathered, facility failed to comply with Care and Supervision per regulation section 101229(a)(1) Care and Supervision, which specifies: No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1). See LIC 809-D for deficiencies.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse Jones	TELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

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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Document Has Been Signed on 05/17/2023 02:50 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 334808839
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/17/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/18/2023 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Care and Supervision, which specifies: No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1). This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Director agrees to submit a written plan as to how the facility will ensure a child(ren) will not be left unsupervised in the future. Director also agrees to plan and submit a scheduled date with topics of discussion for Staff Training. When training is completed Director agrees to submit the sign in/out sheet for the
	8 9 10 11 12 13 14	Based on information disclosed on the Unusual Incident Report and during interviews Child 1 was left outside without staff supervision, which poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	training. The scheduled date with topics to be discussed and written statement are due by POC due date. Immediate Civil Penalty of $500 is being assessed.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse Jones	TELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 334808839
	VISIT DATE: 05/17/2023

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Director understands all current families shall sign an LIC 9224 and place in their file for 12 months. Director also understands that all families enrolling within the next 12 months shall also sign an
LIC 9224 and place in their file.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director, Ivamae Haney.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse Jones	TELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

LIC809 (FAS) - (06/04)

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