304270379-10-14-2022-06-CC-PDUN-CK7QLE-20221014121548

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304270379
Report Date: 10/14/2022
Date Signed: 10/14/2022 12:16:04 PM

Document Has Been Signed on 10/14/2022 12:16 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	304270379
ADMINISTRATOR:	MORLEY, PATSY		FACILITY TYPE:	850
ADDRESS:	25507 MOULTON		TELEPHONE:	(949) 470-0099
CITY:	ALISO VIEJO	STATE: CA	ZIP CODE:	92656
CAPACITY:	78	CENSUS: 36	DATE:	10/14/2022
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Director Miranda McNeill		TIME COMPLETED:	12:30 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	Licensing Program Analyst (LPA) Patricia Duron and Licensing Program Manager (LPM) Thuy Ho conducted a case management investigation for the incident that the facility self reported to licensing office on 10/11/2022. According to the incident report, the incident occurred on 10/05/22 at 5:00 PM. A staff member disclosed to the director observing a staff member forcefully grabbed a child by the arm and took the child outside. LPA and LPM toured the facility inside and outside and a census was taken as follow: 7 preschool staff including director with 36 preschool children. 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. During the investigation, It was disclosed Staff #1(S1) was observed grabbing C1's arm forcefully and pulled C1 outside. During today's inspection LPA Duron reviewed files and interviewed 5 staff members. LPA was unable to interview the children due to the children being non-verbal. Per director, Child #1 (C1) is non-verbal and also on vacation this week so no interview was conducted with C1. Director disclosed an internal investigation was conducted regarding this incident and there was no disclosure from other staff members; thus the investigation was closed with no further action taken. During today's staff's interview, there was no disclosure from the staff members. Based on the interviews conducted during the investigation and the information obtained, there is no collaborating evidence to support the staff's disclosure.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Patricia Duron	TELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 304270379
	VISIT DATE: 10/14/2022

NARRATIVE

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The director stated she will review discipline policy and children's personal rights with all the staff next week by 10/21/2022. Agenda and staff sign-in will be sent to LPA by 10/21/2022.

In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

An exit interview was completed. Appeal Rights and deficiencies were discussed. A copy of the Appeal Rights was given to the facility representative. All appeals must be in writing and received by the Licensing office within 15 days.

THE FACILITY REPRESENTATIVE WAS INFORMED THAT THE 'NOTICE OF SITE VISIT' MUST BE POSTED FOR 30 CONSECUTIVE DAYS. FAILURE TO POST WILL RESULT IN CIVIL PENALTIES OF $100.00. THE 'NOTICE OF SITE VISIT' WAS POSTED ON THE DOOR.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Patricia Duron	TELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022

LIC809 (FAS) - (06/04)

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