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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364804982
Report Date: 03/26/2021
Date Signed: 03/26/2021 04:15:58 PM

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 CENTERFACILITY NUMBER:
364804982
ADMINISTRATOR:JULIE ZONEFACILITY TYPE:
850
ADDRESS:13815 PEYTON DRTELEPHONE:
(909) 464-2255
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:96CENSUS: 43DATE:
03/26/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:58 AM
MET WITH:Julie ZoneTIME COMPLETED:
12:57 PM
NARRATIVE
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Due to COVID-19, a tele-inspection was conducted. On 3/26/2021, Licensing Program Analyst (LPA) Kim Leung met facility director Julie Zone via FaceTime conducting a case management inspection in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 3/22/2021.

Director guided LPA on a virtual tour of the facility. Census was taken, criminal record clearances were verified and program activities were observed. Child Care Industry Guidance on cohort size and social distancing was reviewed with the director during this inspection and director agreed to follow the guidance to protect the health and safety of children and staff during the COVID-19 pandemic. Interview with staff was conducted. Facility records were requested and director agreed to submit the records to the Department by 3/29/2020. Further information is needed. LPA would continue gathering information of the alleged incident. Upon completion of the review, the outcome and/or recommendations will be provided to the licensee.

During this inspection, LPA observed Staff #1 supervising children in an activity room. The staff has obtained the required criminal record clearances. However, there is no verification to support that the staff's criminal record clearances are associated or have ever been associated to this facility. Director stated that the staff member has been working at this facility since 2019. See LIC809D for deficiency cited per California Code of Regulations, Title 22, Division 12 for failure to associate the staff member's criminal record clearances to the license.

An exit interview was conducted with director Julie Zone LPA provided the facility with a copy of this report along with appeal rights and a Notice of Site Visit via email this date on 3/26/2021. Ms. Zone agreed to acknowledge receipt of the email. An electronic “read receipt” was also attached. The electronic read receipt of the emailed report acknowledges receipt of this report.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364804982
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/26/2021
Section Cited

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Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working...request a transfer of a criminal record clearance as specified in Section 101170(f). This requirement was not met as evidence by: On 3/26/2021, LPA observed Staff #1 supervising children.
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There is no verification to support that the staff member's criminal record clearances are associated or have ever been associated to this facility. Director stated that the staff member has been working at this facility since 2019. Failure to associate criminal record clearances to the license presents potential risks to the children's safety.
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submit complete written association request to Licensing no later than close of business of this date on 3/26/2021.

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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: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:
DATE: 03/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/26/2021
LIC809 (FAS) - (06/04)
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