566205972-5-3-2019-17-CC-FPEA-BBTU8Z-20190503152223

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566205972
Report Date: 05/03/2019
Date Signed: 05/03/2019 03:22:32 PM

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 MP		FACILITY NUMBER:	566205972
ADMINISTRATOR:	IRINA ARTEMYEVA		FACILITY TYPE:	850
ADDRESS:	3987 SPRING ROAD		TELEPHONE:	(805) 529-1093
CITY:	MOORPARK	STATE: CA	ZIP CODE:	93021
CAPACITY:	96	CENSUS: 70	DATE:	05/03/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:36 PM
MET WITH:	Irina Artemyeva		TIME COMPLETED:	03:40 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 Analysts (LPAs) Frank Pedroza and Jill Laxo made an unannounced inspection for the purpose of conducting an Annual Random Inspection of the Preschool component. LPAs explained the purpose of the visit with Director Irina Artemyeva and together toured inside and out of the facility. The facility currently had 70 children in care at the time of the inspection. The center operates from 6:30 AM to 6:30 PM, Monday thru Friday. This is a combined center with Infant and School Age Programs. The preschool uses three classrooms for care. Each classroom has two restrooms and sinks available for children to use. LPAs did not observe any toxins/hazardous items accessible to children. LPAs reviewed the posted breakfast, lunch and snack menu. Kitchen, food preparation, storage area are kept clean, free of litter. Food is appropriately labeled and dated. The outdoor playground has age appropriate toys and equipment. Their is no commingling between Infant and School Age children, Preschoolers have their own separate playground There is drinking water available both inside and out. Center uses written sign-in/sign-out sheets. A sampling of children and staff records were reviewed. Teachers have required qualification. Continued on 809C.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: KINDERCARE LEARNING CENTER MP	FACILITY NUMBER: 566205972
	VISIT DATE: 05/03/2019

NARRATIVE

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Teachers present have current First Aid/CPR certificates. LPAs verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements. AB 1207 Mandated Reporter Training certificates were current. Director was provided a guide for Safe Sleep and effects of Lead Exposure brochures.

Incidental Medical Services (IMS) policy was discussed and currently the center does have children with IMS. Plan of Operations on file. 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.

No deficiencies were cited during today's visit.

The LIC 9213 (Notice of Site Visit) was posted during the visit.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019

LIC809 (FAS) - (06/04)

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