<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400331
Report Date: 11/09/2022
Date Signed: 11/09/2022 07:01:28 PM


Document Has Been Signed on 11/09/2022 07:01 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
434400331
ADMINISTRATOR:MAARIT MCCROSSENFACILITY TYPE:
850
ADDRESS:605 EAST DUNNE AVENUETELEPHONE:
(408) 778-1237
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:69CENSUS: 57DATE:
11/09/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Maarit McCrossenTIME COMPLETED:
02:40 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
Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management- Incident. LPA met with Director Maarit McCrossen and explained the reason for the inspection. The purpose of this inspection is in response to an incident that was self-reported by the facility to Licensing on 10/06/2022 involving potential violation of personal rights, which occurred around the beginning of 10/2022. Present during today's inspection were 57 children and at least 6 staff.

During today's inspection, LPA conducted observation and reviewed staff files. LPA also interviewed staff and children. Director stated that they conducted their own investigation. Director will send notes from their investigation to Licensing by 5PM on 11/10/2022. Based on the information obtained, S-1 and S-2 did violate children's personal rights. S-1 and S-2 are no longer working at the facility. Director stated that she conducted training on personal rights on 10/10/2022 with staff. Director will send notes on training to Licensing.

LPA also observed around 11AM that the preschool children were using the school-age yard. There were no school-age children present at the time. LPA discussed with Director that preschool children cannot use yards that are licensed for other program.



--------------------continues on 809 dated 11/09/2022 page 2----------------------
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:
DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/09/2022
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 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434400331
VISIT DATE: 11/09/2022
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
26
27
28
29
30
31
32
------------------continuation of 809 dated 11/09/2022 page 1---------------------

LPA Samantha Yip informed Director Maarit McCrossen that this report dated 11/09/2022 documents two Type A citations which shall be posted for 30 consecutive days as there /are immediate risk(s) to the health, safety, or personal rights of children in care.



Also, LPA Samantha informed the Director, Maarit, to provide a copy of this licensing report dated 11/09/2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

As a result of this inspection, two Type A citations were issued. Exit interview was conducted and report was reviewed with Director Maarit McCrossen. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 11/09/2022 07:01 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131


FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434400331

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/10/2022
Section Cited

1
2
3
4
5
6
7
Personal Rights. The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
This requirement is not met as evident by:
8
9
10
11
12
13
14
Based on interview and record reviews, S-1 and S-2 did violate children's personal rights, which poses an immediate risk to the health and safety of children in care.
8
9
10
11
12
13
14
will ensure that children's personal rights are not violated.
Director conduct training with all staff on 10/10/2022. Director will send notes from training to Licensing.
Type A
11/10/2022
Section Cited

1
2
3
4
5
6
7
A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
This requirement is not met as evident by:
8
9
10
11
12
13
14
Based on observation, LPA observed that the preschool children were using the school-age yard, which poses an immediate risk to children in care.
8
9
10
11
12
13
14
a schedule for each classroom.
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: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:
DATE: 11/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/09/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3