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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364804983
Report Date: 05/30/2019
Date Signed: 05/30/2019 07:21:42 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:
364804983
ADMINISTRATOR:JULIE ZONEFACILITY TYPE:
840
ADDRESS:13815 PEYTON DRTELEPHONE:
(909) 464-2255
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:42CENSUS: 22DATE:
05/30/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Julie ZoneTIME COMPLETED:
07:25 PM
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((3) A random annual inspection is being conducted as part of a compliance review. Licensing Program Analyst (LPA), Kim Leung, toured the center, inside and out. The following was observed:
· A review of staff records (those present during this inspection) and a review of a sampling of children's records was conducted as part of this evaluation
· The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days:
1. LIC 500 Personnel Report
2. LIC 610 Emergency & Disaster Plan
3. LIC 309 Administrative Organization (only if changes have been made)
· The following items have been posted and are updated where necessary:
- License
- Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148)
- Parent’s Rights Poster (PUB393)
- Personal Rights (LIC613A)
- Child Car Seat Law
- Menu
· The facility is operating within the terms of the license
· Ratios were met during this inspection
· Appropriate supervision was provided during this inspection
· Classrooms are equipped with age appropriate furniture and equipment in good condition
· Classrooms are clean and free of hazards except for that the brooms and dust pans are stored accessible to children. Director Julie Zone agreed to issue training memo to all staff members specify how and where the brooms and dust pans should be stored. Copy of the training memo with staff signatures will be submitted to the Department by 6/3/2019.
· All floors are kept clean and safe
· No weapons stored at the facility as stated by director Julie Zone
· There are no accessible bodies of water present. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019
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: 364804983
VISIT DATE: 05/30/2019
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· No medications are stored for children at this time as stated by director
· Regulatory requirements of storage of cleaning solutions were reviewed with staff and director at time of the inspection
· Regulatory requirements of maintaining the restrooms clean, sanitary and free of odor were reviewed with director during this inspection
· Playgrounds are enclosed by appropriate fences and free of hazards
· Outdoor activity areas are supplied with age and size appropriate equipment in good condition
· Kitchen has a strong foul odor at this time due to backup of drains the day before on 5/29/2019 as stated by director. The draining problem has been resolved this morning. The door leading to outdoor from the kitchen is left open for air circulation at the time to help deodorizing the kitchen. Director stated that food services were not affected.
· Food is stored appropriately and protected from contamination
· Drinking water is readily available both indoors and out by use of the drinking faucets and drinking fountains
· The areas around or under high climbing equipment, swings, slides, and similar equipment is cushioned with wodochips that absorb falls
· Menus for the current month are posted
· There is a functioning carbon monoxide detector at the facility
· Sign in/Sign out record was reviewed and regulatory requirements were reviewed with director during this inspection
· A Staff member is present with current Pediatric CPR/First Aid which expires in January 2020
· Opening and closing staff member’s CPR/First Aid expires in January 2020 (Alicia Bermudez and Rachel Floate)
· Children’s records contained a signed copy of the admission agreement
· Staff files contain documentation of the appropriate educational credits
· A review of staff records on 5/30/2019 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
This facility provides Incidental Medical Services – IMS. Written plan of operation including IMS is on file. No medication is stored at the facility for children at this time as stated by director. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) / (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

No deficiency was cited. Updated childcare information was provided to the facility on Facility Evaluation Report issued to the infant program, facility #364804984, this date on 5/30/2019. An exit interview was conducted and during the interview, Ms. Zone confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address. A NOTICE OF SITE VISIT WAS ISSUED AND IS TO BE POSTED IN A PROMINENT LOCATION AT THE FACILITY FOR THE NEXT 30 DAYS. This report must be available for review, upon request, for the next 3 years.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2019
LIC809 (FAS) - (06/04)
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