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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270486
Report Date: 09/27/2023
Date Signed: 09/27/2023 02:41:12 PM

Document Has Been Signed on 09/27/2023 02:41 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270486
ADMINISTRATOR:VASSEGHI, MOJGANFACILITY TYPE:
840
ADDRESS:30062 SANTA MARGARITA PARKWAYTELEPHONE:
(949) 888-8880
CITY:RANCHO STA MARGARITASTATE: CAZIP CODE:
92688
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 0DATE:
09/27/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Director, Mojgan VasseghiTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Aiddee Nunez conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 9/18/2023. LPA met with Director Mojgan Vasseghi. During LPA’s arrival there were no school age present. The director stated school age children arrive around 1:30pm. 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 9/18/2023 a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported that around 4:15pm during outside play time a parent saw a teacher pinning Child #1 (C1) in a rough manner. During today’s visit, LPA obtained an updated copy of the children’s roster, personnel report, and interviewed director, 1 staff, and 4 children. Due to insufficient information available at this time, the reported incident needs further investigation.

Exit interview was conducted. The Notice of Site Visit was posted. Director, Mojgan Vasseghi 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.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2023
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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