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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270403
Report Date: 03/02/2023
Date Signed: 03/02/2023 05:18:16 PM

Document Has Been Signed on 03/02/2023 05:18 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:
304270403
ADMINISTRATOR:PORTER, LYNNFACILITY TYPE:
850
ADDRESS:2515 WEST SUNFLOWERTELEPHONE:
(714) 540-4750
CITY:SANTA ANASTATE: CAZIP CODE:
92704
CAPACITY: 116TOTAL ENROLLED CHILDREN: 116CENSUS: 22DATE:
03/02/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Director Lynn PorterTIME COMPLETED:
05:30 PM
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Licensing Program Analyst (LPA) Romy Castanon conducted a case management inspection to follow up on a self-reported unusual incident that was submitted to the Orange County Regional Licensing Office on 03/01/2023. It was reported by Director Lynn Porter via telephone.

A tour of the facility’s Room 5 was conducted. There was a total of 11 children and 2 staff members. A review of staff 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.

The unusual incident report written by the Director stated that at the end of the day the Staff #1 (S1) combined their children in another classroom. Child #1 (C1) began playing rough with the other children, including a sibling. Staff were unable to deescalate the child and chose to send them to the office. The child ran toward the door. S1 intercepted the child but the child punched S1 in the face. Director suspended the child for one day. The sibling became upset because C1 stayed home and began misbehaving. Parent became irate and refused to sign the behavior report. Parent made claims that C1 alleged inappropriate behavior by S1. Director and District Leader placed S1 on administrative leave effective immediately pending internal investigation outcome.

During today's visit, LPA spoke with Director for further detailed information not found on UIR. The child was on a behavioral contract for aggressive behaviors toward peers and staff. Contract detailed that further incidents would require suspension and a behavioral specialist to assist them. During record review, parent signed all daily behavioral reports, as well as, the behavioral contract dated 02/08/2023. Director and District Leader concluded that S1 was not left alone with C1 after reviewing the facility Child Supervision Records. S1 returned to work on 03/02/2023. Parent has since reported the alleged incident to the Santa Ana Police Department At the time of writing, the police department investigation has not concluded.

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SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2023
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: 304270403
VISIT DATE: 03/02/2023
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Director plans to add topics to the all staff monthly meeting to remind them of the facility’s policies and procedures. Director will mention procedures regarding managing children’s behavior, positive guidance and redirection. All staff members attended a training on 02/20/2023 regarding appropriate responses to difficult behaviors.

Based on LPA’s record review and interviews conducted, there is no evidence to support any violation of Title 22 regulations. No Title 22 deficiencies cited during today's inspection.

Exit interview was conducted with Director Lynn Porter. Notice of Site Visit was posted during the inspection. 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. Director was provided a copy of their appeal rights LIC 9058 and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

End of Report

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2023
LIC809 (FAS) - (06/04)
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