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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270364
Report Date: 02/12/2024
Date Signed: 02/12/2024 11:14:12 AM

Document Has Been Signed on 02/12/2024 11:14 AM - 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 CENTERFACILITY NUMBER:
304270364
ADMINISTRATOR:AMANDA BARLETTFACILITY TYPE:
850
ADDRESS:2515 EAST SOUTH STREETTELEPHONE:
(714) 774-5141
CITY:ANAHEIMSTATE: CAZIP CODE:
92806
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 23DATE:
02/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Assistant Director, Daisy GarciaTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Nunez conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 2/7/2024. LPA met with Assistant Director Daisy Garcia. Director Amanda Barlett was not present today due to being off. LPA observed 23 preschool age children and 2 staff members. A review of staff criminal clearance records 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.

On 2/7/2024 a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported that on 2/7/24, a family member called the childcare facility to inform them that abrasion was observed on child#1 (C1) by C1’s family member on 2/7/24 when changing C1’s diaper, after leaving the daycare facility. During today’s visit, LPA obtained a copy of the children’s and staff roster, reviewed C1's file, obtained C1’s report that contained C1’s meal and diaper change charts and sign in/out sheet for the day of 2/7/24, and interviewed 2 staff members. Due to insufficient information available at this time, the reported incident needs further investigation.

Exit interview conducted with Assistant Director Daisy Garcia and notice of site visit must be posted at entrance of facility. Notice of site visit is to remain posted for no less than 30 days. Failure to post will result in civil penalties of $100. Appeal Rights was explained.

End of Report.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2024
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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