566204208-4-28-2023-17-CC-FVEZ-CRBST3-20230428140853

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566204208
Report Date: 04/19/2023
Date Signed: 04/28/2023 02:09:25 PM

Document Has Been Signed on 04/28/2023 02:09 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	KINDERCARE LEARNING CENTER TO		FACILITY NUMBER:	566204208
ADMINISTRATOR:	LOESSBERG, LISA		FACILITY TYPE:	850
ADDRESS:	2425 OAKBROOK DR.		TELEPHONE:	(805) 492-2495
CITY:	THOUSAND OAKS	STATE: CA	ZIP CODE:	91362
CAPACITY:	84	CENSUS: 60	DATE:	04/19/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Lisa Loessberg		TIME COMPLETED:	02:45 PM

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On 4/19/23, at 1:00 PM, Licensing Program Analysts (LPAs) Francisca Velazquez and Giovani Gonzalez conducted an unannounced One Year Required Inspection the Child Care Center (CCC). The LPAs met with Lisa Loessberg Director of the CCC and explained the purpose of the inspection. LPAs, in the company of Director, toured the interior and exterior of the CCC. The CCC is a preschool center. The CCC operates from 6:30 AM-6:00 PM, Monday - Friday. The preschool uses three rooms (Preschool 1, Discovery Pre 1, Pre K1) for child care. LPAs observed 60 children in care during the inspection.

LPAs observed the rooms used for childcare to be clean and organized. The rooms have age appropriate toys and furnishings available for children in care. The CCC has a carbon monoxide detector which was tested at 10:46 AM and found to be operable. The restrooms used for care are in safe and sanitary operating condition. LPAs observed an operable refrigerator in the CCC's kitchen area which contains some food items for the children’s consumption. The CCC provides (breakfast, lunch and afternoon snack) for children. LPA notes there is available drinking water for children both inside the CCC and outside in the play area by means of individual water bottles. The facility’s water sources have been tested for lead containments and test results are posted. Disinfectants, cleaning solutions, sharps and medications in CCC are located in areas which are inaccessible to children in care.

LPAs observed and reviewed licensing required notices and documents posted predominately near the entry door of the CCC. Likewise, LPAs observed Sign In/Out forms near the entry of the CCC which contains the signature of authorized representatives and the arrival and departure times of children in care. The CCC's outdoor playground area is enclosed by chain link fencing. LPAs note the footing in the area is varied. The fences' entry/exit gates are secured. LPA observed age appropriate toys and play equipment in the play areas. The toys and play equipment are in suitable condition and free of sharp, loose or pointed objects. The play structures in the playground areas have cushioning materials to absorb falls and an abundance of shade created by trees and building overhangs. Director is reminded to replace toys and play equipment which have began degraded and are in not good repair. CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: KINDERCARE LEARNING CENTER TO	FACILITY NUMBER: 566204208
	VISIT DATE: 04/19/2023

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No bodies of water were observed on site. Waste receptacles with tight fitting covers were observed throughout the CCC.

A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records. Staff records were reviewed and found to contain current pediatric CPR and First Aid certifications (EMSA approved) as well as Mandated Report certifications. Director informed LPA no firearm or ammunition are stored on the premises.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Facility representative Lisa Loessberg.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisca Velazquez	TELEPHONE: (805) 883-8244
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

LIC809 (FAS) - (06/04)

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