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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801929
Report Date: 12/19/2022
Date Signed: 03/20/2023 09:24:15 AM

Document Has Been Signed on 03/20/2023 09:24 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
103801929
ADMINISTRATOR:MELISSA LOZANOFACILITY TYPE:
830
ADDRESS:993 E. CHAMPLAINTELEPHONE:
(559) 433-6630
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 6DATE:
12/19/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Melissa LozanoTIME COMPLETED:
12:15 PM
NARRATIVE
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On 12/19/22 Licensing Program Analyst (LPA) Caroline Harris conducted an unannounced case management visit. LPA met with director, Melissa Lozano and a census was taken. The purpose of todays visit was to review the incident that occurred on 9/9/22 with the director. On 9/9/22 teachers Loren Negrete and Nancy Awawa were both feeding infants in classroom B when teacher, Ms. Megan transferred over Child #1 and Child #2 from classroom A, making the census at that time, 11 infants and two teachers. Sign in/out forms were reviewed. Child #1 was placed by the activity mirror on the floor when Child #2 crawled over to Child #1 and appeared to bite him/her on the cheek. Both teachers reacted and Ms. Awawa picked up Child #1 and started to clean the wound and Ms. Negrete picked up Child #2 and placed him/her in a high chair to avoid any other incidents. The parent of Child #1 was notified of the incident at pick up and Child #1 was taken to the doctors the next day, where it was determined that the mark on Child #1 cheek was a pinch, not a bite. The incident was reported to Community Care Licensing.

California Code of Regulations, Title 22, Division 12, Chapter 1, are being cited on the attached LIC 809 D.

An exit interview was conducted with Melissa Lozano. A printed copy of this report as well as appeal rights, Parent Notification Requirements and LIC 9224 was provided to Melissa Lozano at the conclusion of the visit. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2022
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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Document Has Been Signed on 03/20/2023 09:23 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 03/20/2023 08:12 AM


Created By: Caroline Harris On 12/19/2022 at 09:00 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 103801929

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
01/06/2023
Section Cited
CCR
101416.5(b)

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Staff-Infant Ratio. There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidenced by the census being 11 infants and 2 teachers when the incident occurred on 9/9/22. This is a possiable risk to the health, safety or personal rights to children in care.
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The director agrees to conduct a training with her staff on the policies and procedures for staying within ratio. The training agenda and staff sign in will be submitted to the Fresno CCL office by the due date of 1/6/23.

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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.
SUPERVISOR'S NAME:Cynthia Brannon
LICENSING EVALUATOR NAME:Caroline Harris
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2022


LIC809 (FAS) - (06/04)
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