364807780-5-2-2019-09-CC-KLEG-BBT3Q2-20190502182624

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364807780
Report Date: 05/02/2019
Date Signed: 05/02/2019 06:26:34 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 CENTER		FACILITY NUMBER:	364807780
ADMINISTRATOR:	DIEHL, JENNIFER		FACILITY TYPE:	850
ADDRESS:	15928 LOS SERRANOS COUNTRY CLB		TELEPHONE:	(909) 606-7744
CITY:	CHINO HILLS	STATE: CA	ZIP CODE:	91709
CAPACITY:	90	CENSUS: 53	DATE:	05/02/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Jennifer Diehl		TIME COMPLETED:	06:30 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	(1) 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 the staff records and review of a sampling of children's records were 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. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made) 4. LIC 309 Administrative Organization · The following items have been posted and are updated where necessary: - License - Emergency Disaster Plan (LIC610) - 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. One of the blue armchairs is broken with foam exposed. · Classrooms are clean and free of hazards · No weapons stored at the facility as stated by director Jennifer Diehl · There are no accessible bodies of water present. Director stated that she understood that all wading pools or similar product must be emptied immediately after use and stored in an upright position. · No medications are stored for children as stated by director

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019

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: 364807780
	VISIT DATE: 05/02/2019

NARRATIVE

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See LIC 809D for deficiency cited.

An exit interview was conducted and during the interview, director Jennifer Diehl 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. Appeal rights were provide and discussed. This report must be available for review, upon request, for the next 3 years.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019

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: 364807780
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/02/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/03/2019 Section Cited CCR 101239(n)	1 2 3 4 5 6 7	Fixtures, Furniture, Equipment and Supplies. Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts. This requirement was not met as evidenced by: In the 2's class, the seat of the blue armchairs is broken with foam exposed. That presented potential risks to children's health and safety.	1 2 3 4 5 6 7	Director Jennifer Diehl agreed to repair or replace the armchair. Picture and written statement will be submitted to the Department by 5/3/2019.
	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
	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) 784-4200
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019

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: 364807780
	VISIT DATE: 05/02/2019

NARRATIVE

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· Hazards are stored where inaccessible to children which include: Disinfectants, cleaning solutions and other items that are dangerous
· Poisons and toxins are locked
· All floors are clean and safe
· Bathrooms were observed to be safe, sanitary and in operating condition
· Playgrounds are enclosed by appropriate fences. The area where the drain is located presents a drop in the grass area. Director agreed to barricade the drain area to prevent tripping or injuries. Picture will be submitted to the Department by 5/6/2019.
· Outdoor activity areas are supplied with age and size appropriate equipment in good condition
· Food preparation area is clean, free of litter, rubbish and free of rodents and other vermin
· Food is stored appropriately and protected from contamination
· All storage containers for solid waste, including moveable bins have covers that are kept on, and in good repair
· Menu for the current month is posted
· Drinking water is readily available both indoors and out and provided by use of the drinking faucets and drinking fountains
· The areas around or under the play structure are cushioned with rubber filler that absorb falls
· Sign in/Sign out record was reviewed and meets regulation requirements
· A Staff member is present with current Pediatric CPR/First Aid which expires in January 2021
· Opening and closing staff member’s CPR/First Aid expires in January 2021 (Opening teacher Crystal Porras and closing teacher Guadalupe Lugo)
· Required records for children shall ensure that each child’s record contain a medical assessment and contain the Identification and Emergency Information
· Required records for staff shall ensure that each personnel record contain a health screening
· Documentation of fire & earthquake drills was reviewed. The most recent fire drill was conducted on 4/1/19 and earthquake drill on 4/11/19
· A review of staff records on 5/2/2019 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. Plan of operation including IMS is on file. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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.

Child care updates were provided to the facility on Facility Evaluation Report issued to the infant program this date on 5/2/2019.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019

LIC809 (FAS) - (06/04)

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