304270339-12-7-2022-06-CC-MMAK-CLVS3K-20221207123116

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304270339
Report Date: 12/07/2022
Date Signed: 12/07/2022 12:31:21 PM

Document Has Been Signed on 12/07/2022 12:31 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	304270339
ADMINISTRATOR:	STAHL, VANESSA		FACILITY TYPE:	850
ADDRESS:	3223 ASSOCIATED ROAD		TELEPHONE:	(714) 990-6924
CITY:	FULLERTON	STATE: CA	ZIP CODE:	92835
CAPACITY:	82	CENSUS: 49	DATE:	12/07/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Director		TIME COMPLETED:	11:00 AM

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	Page 1 of 2 Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a case management inspection of the facility for the purpose of increasing capacity from 82 preschool children to 106 preschool children by decreasing the school age capacity taking Room # 7 off and add it to the preschool. LPA met with director, Vanessa Stahl who toured the facility with. Census was taken. Currently the facility is licensed for 82 children rooms 5, 6, 8, and 9. The licensee has requested to provide care and supervision for 106 children in rooms 5, 6, 7, 8, and 9 ages 2 to 6 years old, Monday through Friday, 6:30 a.m. to 6:30 p.m. The total census were 49 preschool children with 5 staff. Room # 5 there were 9 children with one staff. Room # 6 there were 16 children with 2 staff Room # 8 there were 12 children with one staff Room # 9 there were 12 children with one staff A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Office area is located at the entrance of the building and will serve as the isolation area for ill children temporarily until parents arrive. The staff/adult restroom will be used as the isolation restroom for ill children and is conveniently located close to the isolation area. This facility provides Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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 Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Incidental Medication will be stored in the office Continued on page 2

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 703-2741
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 304270339
	VISIT DATE: 12/07/2022

NARRATIVE

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The indoor activity space measurement is as follows:
Room # 5: 810 sqft.
Room # 6 675 sqft
Room # 7: 858 sqft
Room # 8: 858 sqft
Room # 9: 1089 sqft
Total indoor space is 4290 divided by 35 = 122.57 (123 children)
Total outdoor activity space measurement is as follows:
Yard #1: 2349 sqft divided by 75 squf = 31 children
Yard # 2 4416 sqft divided by 75 sqft = 58.88 (59 children)
Total: 6765 sqft divided by 75 = 90 children
Total children toilets and sinks:
Toilet: 10 x 150 = 15 children
Sink: 16 x 15 = 240 children
The facility needs to request a waiver for shared playground # 1 and # 2 for preschool children on a rotating basis. These documents are needed to approve a waiver request: Waiver request letter, Preschool outdoor schedule with details of time for morning and afternoon in different groups and number of children. LIC 500, LIC 999, and Playground pictures,
The facility was in compliance with Title 22 requirements at the time of the inspection. Orange county Fire authority has approved the requested capacity of 106 preschool children. Based on today’s measurements, and the sinks and toilets availability, the request of the facility for increasing capacity to 106 children will be final reviewed and discussed with management in the Regional Office. The facility will be notified if any additional information is required.
Notice of Site Visit must be posted for 30 days or $100 civil penalties will be assessed.
An exit interview was completed. The report was reviewed and discussed. Appeal Rights were discussed. The applicant was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days
End of report

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 703-2741
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2