198003113-11-21-2025-33-CC-DORZ-DNMRVZ-20251121122223

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198003113
Report Date: 11/21/2025
Date Signed: 11/21/2025 12:22:37 PM

Document Has Been Signed on 11/21/2025 12:22 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	198003113
ADMINISTRATOR/ DIRECTOR:	GARCIA, MELISSA		FACILITY TYPE:	850
ADDRESS:	1175 VIA VERDE		TELEPHONE:	(909) 592-2220
CITY:	SAN DIMAS	STATE: CA	ZIP CODE:	91773
CAPACITY: 82	TOTAL ENROLLED CHILDREN: 82	CENSUS: 21	DATE:	11/21/2025
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Melissa Garcia, Center Director		TIME VISIT/ INSPECTION COMPLETED:	12:30 PM

NARRATIVE

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Licensing Program Analysts (LPAs) Diana Ortiz and Lilli Babcock conducted an unannounced Case Management inspection due to an incident that occurred on 11/13/25. LPAs met with Director, Melissa Garcia, to whom the reason for the visit was explained. Census was taken. There were 21 children being supervised by 4 staff.

On November 14^th, 2025, an unusual incident report was made to the Department regarding an incident that occurred on 11/13/25 that involved a child who was found unsupervised in the playground. Based on information obtained during interviews conducted with staff present during the incident, LPAs determined that Child #1 (C1) was found outside alone and unsupervised by C1s parent at pick up. During interviews conducted, all staff stated they did not know that C1 was missing and for what duration of time C1 was missing until C1s parents arrived for pick up and inquired where their child was. Staff #1 (S1) stated she was asked to clean another child’s diaper and was not told by anyone to stay and help cover and needed to do to leave for the day. S2 stated that C1 had to have walked from classroom 2A to classroom 2B and opened the door to the outside playground where C1 was found. Staff #2 (S2) stated a name to face was conducted after transition from outside to inside and C1 was in the classroom, however, S1 stated C1 could have possibly been left outside after outside play time and was not in line during transition. S2 stated that C1 was found at approximately 5pm or 5:05pm by C1 parents. Staff #3 (S3) stated a magnet was placed on the door jam leading to the outside playground to prevent the door from locking, however, Per Director, the magnets were removed on 11/14/25 and a door bell was placed above the door to alert staff when the door opens. Staff written statements, and Child Supervision Record (CSR) were obtained from Director, Melissa Garcia.

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NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Diana Ortiz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 11/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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Document Has Been Signed on 11/21/2025 12:22 PM - It Cannot Be Edited

Created By: Diana Ortiz On 11/21/2025 at 11:43 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 198003113
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/21/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 11/24/2025 Section Cited CCR 101229	1 2 3 4 5 6 7	101229 Responsibility for Providing Care and Supervision(a)...(1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Program Coordinator stated the facility will send LPA a written statement with the facility procedure for ensuring children are supervised at all times, especially during transitions. Also, facility will conduct a mandatory training by 11/24/25, with all staff regarding supervision and reporting
	8 9 10 11 12 13 14	Based on interviews conducted and records reviewed, the licensee did not comply with the section cited above as a child was left unsupervised which poses/posed an immediate health, safety or personal rights risk to persons in care	8 9 10 11 12 13 14	requirements. Facility will submit the meeting agenda to LPA, signed by all staff. Facility will also conduct unannounced classroom observations to monitor compliance.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Brandi VanOosten
NAME OF LICENSING PROGRAM MANAGER:

	Diana Ortiz
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2025

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 198003113
	VISIT DATE: 11/21/2025

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Based on the LPA’s interviews and record review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

LPAs Diana Ortiz and Lilli Babcock informed facility representative, Melissa Garcia that this report dated 11/21/2025 document(s) one (1) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPAs Diana Ortiz and Lilli Babcock informed the facility representative, Melissa Garcia to provide a copy of this licensing report dated 11/21/25 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

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.

Exit interview conducted and report was reviewed with Director, Melissa Garcia.

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NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Diana Ortiz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 11/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2025

LIC809 (FAS) - (06/04)

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