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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801929
Report Date: 05/25/2023
Date Signed: 05/25/2023 03:41:20 PM

Document Has Been Signed on 05/25/2023 03:41 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
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: 37DATE:
05/25/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Kim EscobedoTIME COMPLETED:
04:00 PM
NARRATIVE
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On 5/25/2023 at 12:45PM, an unannounced case management visit was conducted today by Licensing Program Analyst (LPA) Anita Tristan. LPA met with District Leader, Kim Escbedo and Assistant Director, Jasmine Camacho. Center Director Melissa Zapata was out on leave. LPA toured the facility and census taken. Purpose of today's visit was to review the unusual incident that took place on 3/31/2023. During today's visit, LPA interviewed five staff members.

According to multiple staff members, during transition from inside to outside Child #1 was left unattended and unsupervised in Toddler Room 2 for approximately 30 seconds to 5 minutes. Child #1 was found in the classroom by staff. Child #1 was found standing looking out large glass door and window (picture enclosed).

During today’s inspection, LPA was informed that Child #1 has been left behind on more than one occasion in the toddler room during inside to outside transition. Since the initial incident he was not left unattended; however, he gets left behind in the Toddler class room while his class transactions from coming inside, walking down the hall, and getting settled into Discovery Junior room.

***Continue on 809-C***

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/25/2023
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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Document Has Been Signed on 05/25/2023 03:41 PM - It Cannot Be Edited


Created By: Anita Tristan On 05/25/2023 at 02:23 PM
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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 103801929

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/09/2023
Section Cited
CCR
101429(a)(1)

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(a) The licensee shall provide care and supervision as necessary to meet the children's needs.

This requirement was not met as evidenced by
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District Leader will add extra staff during transition. Will provide (2) weeks of Sign-in sheet for extra transition staff. By POC 6/9/2023.
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(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

it to be found that there was one child left unattended for 30 seconds to 5 minutes
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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:Anita Tristan
LICENSING EVALUATOR SIGNATURE:
DATE: 05/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2023


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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 103801929
VISIT DATE: 05/25/2023
NARRATIVE
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Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D)

Exit interview conducted and report and appeal rights were reviewed and discussed with the District Leader, Kim Escobedo and Assistant Director, Jasmine Camacho.

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

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
LIC809 (FAS) - (06/04)
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