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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566209102
Report Date: 04/04/2025
Date Signed: 04/04/2025 10:36:04 AM

Document Has Been Signed on 04/04/2025 10:36 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:KINDERCARE LEARNING CENTER VENFACILITY NUMBER:
566209102
ADMINISTRATOR/
DIRECTOR:		SHAWN SMITHFACILITY TYPE:
850
ADDRESS:1197 S. VICTORIA AVE.TELEPHONE:
(805) 339-9363
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY: 110TOTAL ENROLLED CHILDREN: 110CENSUS: 44DATE:
04/04/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Leon PaulTIME VISIT/
INSPECTION COMPLETED:
10:49 AM
NARRATIVE
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On 4/04/2025 Licensing Program Analyst (LPA) German Negrete made an unannounced inspection for the purpose of completing/closing a Case Management - Incident inspection. LPA met with Center Director Leon Paul and informed Director of the purpose for todays inspection. LPA conducted a walk through of the Child Care Center with the Center Director. LPA observed at the time of the walk-through 44 children being supervised by 5 staff.

On 1/16/2025, Program Specialist contacted Community Care Licensing (CCL) to self-report the following unusual incident : On approximately 8/15/2024 C1 was playing outside in the play ground with the rest of the children in the "two's" classroom. S1 and S2 were providing care and supervision to the children. According to S1 during transitioning, from outside to inside, C1 was brought into the Two's classroom, and was checked off on the "name to face" document. S1 stated, how S1 was informed by S3, how C1 was still out side in the play yard. It is still unclear who returned C1 back inside the two's classroom.

The additional incident under review by CCL, was self reported to the department on 8/01/2023. The reporting party stated: A parent approached Assistant Director (AD) and stated teachers were giving C2 gummy bears with melatonin. Parent is claiming when picking up C2 at the center, parent over heard, teachers were giving out gummy bears as a reward system for potty training. Continued On LIC809-C

Ana TolentinoTELEPHONE: (805) 562-0437
German NegreteTELEPHONE: 805-315-8362
DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KINDERCARE LEARNING CENTER VEN
FACILITY NUMBER: 566209102
VISIT DATE: 04/04/2025
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Allegedly these gummy bears had Melatonin inside of them and Teachers would place the gummy bears in a baggy and send the gummy bears home with the children(See LIC812).

Today LPA verified the 8/14/2024 unusual incident written report (LIC624) was emailed to CCL on 1/23/2025. Due to the length of time (years), the date for the submission of the 8/01/2023 LIC624 is unclear(see LIC812).

LPA conducted staff interviews for both unusual incidents. LPA requested and received a children's roster and staff roster. Also LPA received CSR, child supervision record document. Additionally CCC conducted their own investigation into both incidents(see LIC812).

In regards to the 8/01/2023 incident, the staff interviews revealed how no one witnessed or could collaborate the claim, staff were giving melatonin gummy bears to children. LPA interviewed former director and showed LPA the alleged gummy bears in question(see LIC812). Former director stated the staff never gave melatonin gummy bears to children in care.

In regards to the 8/14/2024 incident, due to inconsistent statements by CCC staff, LPA could not determine a exact narrative of which staff made the mistake when C1 was left unattended in the play yard. The staff and director interviews revealed, C1 was left unattended for at least one minute.

Today CCC will receive one technical violation and one type B violation.

Exit interview Conducted and report was read to Director Leon Paul.

Notice of site visit was provided and must remain posted in a prominent publicly accessible area of the center.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: German NegreteTELEPHONE: 805-315-8362
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/04/2025 10:36 AM - 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117


FACILITY NAME: KINDERCARE LEARNING CENTER VEN
FACILITY NUMBER: 566209102

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/04/2025
Section Cited
CCR
101229(a)(1)

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(a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time, Supervision shall include visual observation.
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The CCC staff will watch a video on the departments website titles "care and supervsion"

the website can be found below:
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This was not met as evidence by.. C1 left without care and supervsion in the play yard for at least one minute.
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https://ccld.childcarevideos.org/child-care-center-operators/

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Ana TolentinoTELEPHONE: (805) 562-0437
German NegreteTELEPHONE: 805-315-8362

DATE: 04/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/04/2025

LIC809 (FAS) - (06/04)
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