566215587-8-4-2021-17-CC-FPEA-C5KTVM-20210804150409

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566215587
Report Date: 08/04/2021
Date Signed: 08/04/2021 03:04:15 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 WLV		FACILITY NUMBER:	566215587
ADMINISTRATOR:	DEBORAH LOWE		FACILITY TYPE:	830
ADDRESS:	917 HAMPSHIRE ROAD		TELEPHONE:	(805) 494-5152
CITY:	WESTLAKE VILLAGE	STATE: CA	ZIP CODE:	91361
CAPACITY:	28	CENSUS: 8	DATE:	08/04/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Sarah Hutson		TIME COMPLETED:	03:15 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	On August 4, 2021 at 1:40 PM, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Annual/Random inspection. LPA contacted the facility and conducted Covid-19 screening questions prior to entering the facility. LPA met with facility Director Sarah Hutson and advised her the purpose of the inspection. There was eight (8) children in care at the time of the inspection. This center operates from 7:00 AM - 6:30 PM, Monday - Friday. This is a combined center with pre-school and school-age programs. LPA observed required licensing documents posted on the wall at the entrance of the facility. The center uses two (2) classroom for infants/toddlers. Currently they were only using one (1) classroom at the time of the inspection. LPA observed two (2) teachers caring for the children. The classroom had age appropriate toys and furnishings. The classroom had a changing table with a sink readily accessible. LPA observed enough cribs for the infants in care. Facility provides cots for older children that are not using a crib. The facility logs the required 15 minute sleep check logs on their electronic application KinderCare. Food and milk is stored within a refrigerator located in the classroom. LPA reviewed a sampling of Individual needs & services and feeding plans. Children bottles and food were properly labeled with child's name and date. LPA did not observe any toxins/hazardous items accessible to children. Continued on 809-C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2021

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 WLV	FACILITY NUMBER: 566215587
	VISIT DATE: 08/04/2021

NARRATIVE

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A sampling of children and staff records were reviewed. LPA observed children's files to be current and complete. LPA observed staff files to be current and complete. LPA verified SB792 Child Adult Immunization and Tuberculosis requirements. Teachers/Aides meet the required qualifications. Teachers/Aides present have a current Pediatric CPR/First-Aid certificate that expire on 2/11/2023. Teachers/Aides present have current Mandated Reporter certificates that expire on 3/26/2023. LPA spoke with Director about new Covid-19 and Safe Sleep requirements. The facility is following current Covid-19 requirements.

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

No deficiencies cited during today's inspection.

NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2021

LIC809 (FAS) - (06/04)

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