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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403566
Report Date: 03/20/2024
Date Signed: 03/20/2024 02:24:10 PM

Document Has Been Signed on 03/20/2024 02:24 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 CENTERFACILITY NUMBER:
197403566
ADMINISTRATOR:GENESIS BENITEZFACILITY TYPE:
850
ADDRESS:44400 FOXTONTELEPHONE:
(661) 948-1767
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY: 66TOTAL ENROLLED CHILDREN: 66CENSUS: 19DATE:
03/20/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Genesis BenitezTIME COMPLETED:
02:20 PM
NARRATIVE
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On 03/20/2024, at 12:40 P.M., Licensing Program Analyst (LPA) Joselito L. Del Mundo conducted a case management inspection at KinderCare Learning Center. LPA met with Director Genesis Benitez and was allowed access to the facility. LPA stated purpose of the inspection was to follow-up on a self-reported Unusual Incident Report (UIR) that happened on 02/27/2024 at the center. During this visit, LPA observed 19 pre-k children napping with 1 staff member providing care and supervision. LPA was provided with a copy of the Sight and Sound Supervision training for staff.

The incident happened on 02/27/2024 when the pre-k classroom was transitioning to outdoor play time and C1 was left unsupervised in the classroom. During the incident follow-up, it was discovered the teacher to child ratio did not meet Title 22 requirement.

Based on the additional information gathered, the teacher to child ratio was 23 children being care for by one fully qualified teacher and a teacher’s aide. A Type B deficiency was cited as a result of the center not meeting the teacher to child ratio requirement.

A LIC 9213 Notice of Site Visit was left at facility and must be posted for 30 days. Failure to do so will result in an immediate civil penalty assessment of $100.00.

An exit interview was conducted, Appeal Rights and a copy of this report were provided to Director Genesis Benitez.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Joselito DelMundo
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2024
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 03/20/2024 02:24 PM - It Cannot Be Edited


Created By: Joselito DelMundo On 03/20/2024 at 01:27 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: 03/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/20/2024
Section Cited
CCR
101206.3(b)(1)

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The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. A ratio of one fully qualified teachera and one aide for every 18 children ....Licensee did not meet the teacher to child ratio, this requirement was not met as evidence by:
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The deficiency cited was corrected today due to the center restructuring of staff. The Center Director also conducted a meeting with the staff that includeds Sight and Sound Supervision training for staff,
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Licensee allowed a teacher and a teacher’s aide to care for 23 children on 02/27/2024 which posed a potential Health, Safety or Personal Rights risk to persons in care.
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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:Lady King
LICENSING EVALUATOR NAME:Joselito DelMundo
LICENSING EVALUATOR SIGNATURE:
DATE: 03/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/20/2024


LIC809 (FAS) - (06/04)
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