198006335-6-9-2023-33-CC-LBAK-CSMVHA-20230609162650

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198006335
Report Date: 06/09/2023
Date Signed: 06/09/2023 04:26:54 PM

Document Has Been Signed on 06/09/2023 04:26 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	198006335
ADMINISTRATOR:	MARICRUZ FLORES		FACILITY TYPE:	830
ADDRESS:	10704 SCOTT AVENUE		TELEPHONE:	(562) 947-7100
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90604
CAPACITY: 28	TOTAL ENROLLED CHILDREN: 18	CENSUS: 12	DATE:	06/09/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Director, Maricruz Flores		TIME COMPLETED:	04:45 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 6/9/2023, Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced case management inspection. The purpose of this visit was to follow-up on an incident that was filed with the Department on May 8,2023. The incident was reported timely to the Department. Upon arrival LPA met with Director, Maricruz Flores who guided LPA on a tour of the facility. LPA observed 12 children in care with 4 staff. Description of incident: On May 5, 2023, the teachers were getting the kids lined up for a group picture for Cinco De Mayo. Child #1 (C1) ran away from the group and to the kitchen play set. C1 put their foot on a small open shelf a few inches from the ground and attempted to climb onto the play kitchen. C1 lost their balance and fell forward before the teacher was able to reach C1. C1 hit their mouth on the play kitchen and the mouth of C1 was bleeding. Staff #1 (S1) cleaned the wound and staff gave C1 a popsicle and Parent 1 was contacted. Parent 1 picked up C1 and took her to urgent care. The doctor recommended C1 see a pediatric dentist. Per Director, C1 had bruising on her chin from the incident. The parent of C1 stated that the dentist said C1s teeth will be fine, and the teeth were not chipped. All staff interviewed stated they did not think they could have prevented the incident unless they were standing right there. Staff #1 stated, “There was no way to stop C1 unless we were right there. It happened so fast that C1 ran over, tried to climb and fell”. During this inspection LPA interviewed Director, and 2 additional staff that were present in the Toddler room at the time of the incident. LPA also obtained a copy of the doctor’s visit documentation provided Page 1 of 2

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023

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 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 198006335
	VISIT DATE: 06/09/2023

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by the parent, and a copy of the incident report given to Parent 1. LPA took a photo of the kitchen play set. Per Director, there have been no previous injuries involving the kitchen play set. LPA was unable to interview children due to children not being verbal.

Per Director, at the time of the incident there were 12 children with 4 staff members. The incident occurred at 11:35 am on 5/5/23.

Based on LPAs observations, record review, and interviews conducted, the incident did not occur due to lack of supervision as there was adequate staff in the classroom when the incident occurred.

The facility is found to be in compliance with Title 22 Regulations and no deficiencies are being cited. The Director was reminded to continue to report any unusual incidents to the Department.

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.

An exit interview was conducted and report was reviewed with Director, Maricruz Flores.