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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270379
Report Date: 12/14/2022
Date Signed: 12/14/2022 02:31:31 PM


Document Has Been Signed on 12/14/2022 02:31 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270379
ADMINISTRATOR:MIRANDA MCNEILLFACILITY TYPE:
850
ADDRESS:25507 MOULTONTELEPHONE:
(949) 470-0099
CITY:ALISO VIEJOSTATE: CAZIP CODE:
92656
CAPACITY:78CENSUS: DATE:
12/14/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Director, Miranda McNeill TIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Dianna Valdez Santana conducted a case management investigation for the incident that the facility self-reported to licensing office on 10/28/2022. According to the incident report, the incident occurred on 10/26/22 at approximately 3:45 PM. A staff member disclosed to the director observing a staff member grab a child by the wrist and pulled her around and heard her tell the child, “you are not a good listener".

Upon arrival LPA, was met by Director, Miranda McNeill. Director provided a tour of the facility. LPA observed 6 preschool staff and 30 preschool children in care during today’s visit. Staff was explained the reason for today's visit upon arrival.

A review of the Facility Personnel Report Summary conducted on 12/14/2022 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the investigation, it was disclosed former Staff #1(S1) was observed grabbing C1's wrist and pulled C1 around.



During the course of the investigation, LPA interviewed 4 staff, obtained a copy of the children's roster (LIC 9040) and reviewed staff files. LPA was unable to interview children due to being too young and non-verbal. Per the Director, Child #1 (C1) is nonverbal so no interview was conducted with C1. During the investigation it was determined that staff #1(S1), (See Confidential Names List LIC811) had inappropriately pulled at least one child, in a manner of which that is considered handling the child in a rough manner and had infringed upon the child's health, safety, and personal rights. It was disclosed in a staff interview that S1 was observed a least 3 times a week being rough with the children and was often showing frustration with the children when they would be emotional and cry a lot.

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SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2022
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: 12/14/2022
NARRATIVE
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It was also determined through interviews with staff that S1 had placed their hands on the child and pulled the child by the wrist in a rough manner as a result of frustration for the child “not being a good listener”. In addition, on a separate occasion the facility self-reported an incident on 10/11/2022 that another staff had also observed S1 “forcefully grab a child by the arm”. Therefore, on two separate occasions two different staff observed S1 being rough with two different children. This constitutes a violation of children's personal rights and has been determined to be a potential risk to the children's health and safety. Based on information gathered during the investigation, it has been determined that a staff in the facility handled children roughly.

Based on information gathered from the facility’s self-reported incidents and interviews conducted there is enough evidence to support the disclosures that a previous staff was handling children in a rough manner, therefore the allegation has been found to be Substantiated. California Code of Regulations Title 22 section 101223(a)(3) is being cited on the attached LIC 9099Ds.


Exit interview conducted with Director, Miranda 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. A copy of appeal rights (LIC 9058) was provided and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.

End of Report.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 12/14/2022 02:31 PM - It Cannot Be Edited

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

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/14/2022
Section Cited

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To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...

Based on interviews with staff over the course of the investigation, it was determined that Staff #1 (S1)
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The director stated that S1 involved in the allegation was placed on administrative leave, pending the completion of the investigation, and then after second reported incident S1 was terminated. Director conducted a "Personal Rights" and "Child Guidance" training with staff on 10/17/2022 and submitted agenda and staff sign in/out
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(See Confidential Names List LIC811) had inappropriately handled children in a rough manner while in care. This is a potential risk to the children's health, safety, and personal rights.
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of who attended the training,

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2022
LIC809 (FAS) - (06/04)
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