304270484-6-1-2023-06-CC-NKTN-CSDQ96-20230601115749

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304270484
Report Date: 06/01/2023
Date Signed: 06/01/2023 11:57:52 AM

Document Has Been Signed on 06/01/2023 11:57 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	304270484
ADMINISTRATOR:	VASSEGHI, MOJGAN		FACILITY TYPE:	850
ADDRESS:	30062 SANTA MARGARITA PARKWAY		TELEPHONE:	(949) 888-8880
CITY:	RANCHO STA MARGARITA	STATE: CA	ZIP CODE:	92688
CAPACITY:	78	CENSUS: 48	DATE:	06/01/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Mojgan Vasseghi, Director		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) Tran conducted a case management inspection to follow up on a self-report unusual incident that was submitted to Regional Licensing Office on 05/26/2023. It was reported by Mojgan Vasseghi, Director. According to Mrs. Vasseghi, the unusual incident occurred on 05/25/2023 when Staff #1 displayed aggressive behavior toward Child #1(C1). During today's inspection, a tour of the facility was conducted. There were 48 preschool children and 7 staff members in 3 different classrooms. A review of staff records on 06/01/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances. During today's inspection, staff members were interviewed, and staff's and child's file were reviewed. During interview, Director stated the following: Staff #2 (S2) reported to Director that S2 witnessed S1 was conducting diaper change for C1 at approximately 2:30pm on 05/25/23 and C1 did not follow S1's directions. C1 was running away from S1. S1 got upset, took C1 to the side by the trash ca,n in the classrooom and spanked C1 on the right leg a couple of times causing C1 to cry. S2 immediately attended to C1 and no injury was observed, and S2 asked S1 about S1's action. S1 denied it. Director met with S1 to address concerns about S1's behavior on 05/25/23 at 3pm, and S1 continued to deny that S1 spanked C1. S1 was dismissed for the day at approximately 3:30pm, pending further investigation. On 05/26/23, Kindercare terminated S1's employment due to concern about S1's behavior. C1's guardian was informed of the incident. When interviewed, S2 also provided details of the incident, which was consistent with the report of the Director. During record review, there was document to support that Director informed C1's guardian of the incident and that S1 was terminated for employment with the facility. (Continue next page)

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 795-0859
LICENSING EVALUATOR NAME: Nguyen K Tran	TELEPHONE: (714) 658-6048
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

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: 304270484
	VISIT DATE: 06/01/2023

NARRATIVE

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(Page 2 of Report)

Based on information gathered from LPA's interviews and records review, the facility had taken appropriate actions to address concerns and reported the incident timely, there is no evidence to support any violation of Title 22 regulations. No Title 22 deficiencies cited during today's inspection.

Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director Mojgan Vasseghi.

(End of Report)

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 795-0859
LICENSING EVALUATOR NAME: Nguyen K Tran	TELEPHONE: (714) 658-6048
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

LIC809 (FAS) - (06/04)

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