197403566-4-11-2024-12-CC-JDMO-D48TUN-20240411150238

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197403566
Report Date: 04/11/2024
Date Signed: 04/11/2024 03:03:00 PM

Document Has Been Signed on 04/11/2024 03:03 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	197403566
ADMINISTRATOR/ DIRECTOR:	GENESIS BENITEZ		FACILITY TYPE:	850
ADDRESS:	44400 FOXTON		TELEPHONE:	(661) 948-1767
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93535
CAPACITY: 66	TOTAL ENROLLED CHILDREN: 66	CENSUS: 41	DATE:	04/11/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:50 AM
MET WITH:	Genesis Benitez		TIME VISIT/ INSPECTION COMPLETED:	02:32 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 April 11, 2024, at 8:50 A.M., Licensing Program Analyst (LPA) Joselito L. Del Mundo met with the School Director, Genesis Benitez (D1) to conduct an unannounced Annual/Random inspection for the preschool license in accordance with the facility sketch. A tour of the facility was conducted. LPA observed a total of 41 preschool children in three classrooms (Pre-K, Discovery, and Preschool) with six staff providing care and supervision. The preschool classroom operates Monday to Friday, from 6:30 A.M. to 6:30 P.M. Indoor/Children’s Area: The room is clean, safe, sanitary and in good repair; the entrance and exit doors of the classroom is kept free of obstructions; floors of the room have a surface that is safe and clean, teachers used spray bottles disinfectants to sanitize rooms, furniture/equipment is in good condition and is free of flies, other insects, and rodents; tables/chairs provided to meet children’s needs. Per Assistant Director Suheidy Vasquez (AD), the rooms are being sanitize by the teachers every day and they have a daily and weekly checklist when cleaning. All play equipment and materials used by children are age-appropriate, each child has an individual storage space (cubby, individually labelled with name) for his/her clothing, personal belongings. There is a working telephone. Electrical outlets are inaccessible to children in care. Recalled and or prohibited toys or sleep/play equipment were not observed on the premises. There are no window cords accessible to children. Trash bins for solid waste have tight fitting lids. Water fountains are available at the play area. Water pitcher and disposable paper cups are available in the classroom. All materials and surfaces are toxic free. There is no fireplace in the facility. The center has an internal pull-down fire alarm system and fire extinguishers with 3-A:40-B:C and 2-A:10-B:C classification and the last service date was on January 23, 2024 (reading in green, checked at 10:17 and 10:26 A.M.). Carbon monoxide devices are in operable condition (tested at 10:17 A.M. and 11:58 A.M.). Restrooms: LPA inspected and observed a total of eight toilets and three sinks in the restrooms. LPA also observed liquid soap, paper towel, toilet paper, and trash bins with lids. Water temperature is appropriate.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 197403566
	VISIT DATE: 04/11/2024

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
26
27
28
29
30
31
32

Pg 2

The school age classroom is used as an isolation area for children who become ill while in care. The facility maintains a comfortable temperature at all times, first aid supplies (first aid manual/guide, bandages, scissors, tweezers), sign in/out sheets available and completed daily. Smoking is prohibited on the premises, no prohibited child care items observed. Firearms/weapons are not allowed or stored on premises. There is no body of water on the premises.

Sleeping mats/cots were observed during this inspection inside each classroom. Per director Benitez, sheets were provided by the school while parents provide the blanket.

Outdoor: The facility has one playground area for the preschool children. The play area is made of grass and concrete and has a canopy to cover other play equipment. Outdoor play equipment was inspected for health, safety, good repair, and age appropriateness. The area was observed to be free of debris, free from hazard, holes, broken items, debris. Water fountain is available at the play area. Water is also provided using water pitcher and disposable paper cups. LPA observed a slide and tricycles. Wood chips served as cushioning material under the slide. There is also a bicycle path on the play area. No bodies of water were observed.

Teacher child ratios were observed, and staff name recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate.

Health Related Services: Per Assistant Director Vasquez, the center does not have medications stored in the cabinets of each classroom. Children are verbally and visually inspected for illnesses (wellness policy) as they arrive. The assistant director also stated that at this time zero medications are provided to preschool children. If medications are administered, they would be provided only with parent's written permission and a doctor's note. Facility was advised that the medication must be properly labeled and stored in its original container.

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

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024

LIC809 (FAS) - (06/04)

Page: 2 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 197403566
	VISIT DATE: 04/11/2024

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
26
27
28
29
30
31
32

Pg 3

Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The Assistant Director stated that they were not providing transportation to preschool children. Parents drop them off at the center.

Food Service: The facility has monthly menu posted on the parent board. The center provides breakfast, lunch and afternoon snacks.

Staff/Personnel Records: Designation of Responsibility observed, immunization's, TB clearance, health screening, criminal record statement, statement acknowledging requirement to report suspected child abuse. One of the staff providing supervision to children has expired mandated reporter training dated March 22, 2022. Per Director Benitez, the staff is scheduled to take the training today, April 11, 2024 and the certificate will be provided to LPA upon completion. Three of the five staff have expired CPR/First Aid training. LPA observed the training were completed at National CPR Foundation. The Assistant Director was advised that staff should take the in-person CPR/First Aid training either through the American Red Cross, American Heart Association, or any Emergency Medical Services Authority (EMSA) approved/accredited training centers. LPA also observed two (staff 3 and 4) of the five staff have missing immunization records. The director was advised to send copies of staff 3 and 4 immunization records.

Facility Records: Electronic Roster, fire/disaster drills log was completed last March 4, 2024 at 10:45 A.M.

Posting Requirements: Failure to comply with posting requirements shall result in an immediate civil penalty. The following were observed posted as required: facility license, Personal Rights (LIC613A), Parent’s Rights Poster (PUB 394), emergency disaster plan, earthquake preparedness checklist, and California Car Seat Law.

Documents Provided and or Discussed: Forms and records to keep at the facility and IMS.

Advisory/Other: First Aid kit boxes were observed with supplies readily available.

LPA observed Sign in and out sheets when dropping off and picking up their child. The parent board was

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024

LIC809 (FAS) - (06/04)

Page: 3 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 197403566
	VISIT DATE: 04/11/2024

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
26
27
28
29
30
31
32

Pg 4

reviewed and has all the required forms posted. Fire/earthquake drills current. The facility has a daily schedule posted inside the classroom.

Director Benitez was advised of the requirement to report Unusual Incidents. The director was informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.

The director was also reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. Director shall permit the Department to inspect the family child care home, and to privately interview children or staff, to determine compliance with or to prevent violations of child care center or regulations, also enter and inspect any place providing personal care, supervision and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

A Type B deficiency was cited during this inspection.A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. The On Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8 A.M. to 5:00 P.M. Exit interview conducted and a copy of this report, Notice of Site Visit, and appeal rights were provided to Director Genesis Benitez.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024

LIC809 (FAS) - (06/04)

Page: 4 of 5

Document Has Been Signed on 04/11/2024 03:03 PM - It Cannot Be Edited

Created By: Joselito DelMundo On 04/11/2024 at 02:33 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 197403566
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/11/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the facility did not comply with the section cited above by failing to provide staff 3 and 4 immunization records on measles and pertussis which posed a potential Health, Safety or Personal Rights risk to persons in care.
	POC Due Date: 04/26/2024
	Plan of Correction
1 2 3 4	The director will email a copies of staff 3 and 4 immunization records on measles and pertussis to LPA.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Lady King

LICENSING EVALUATOR NAME:

Joselito DelMundo

LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024

LIC809 (FAS) - (06/04)

Page: 5 of 5