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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270924
Report Date: 08/20/2026
Date Signed: 08/20/2026 12:17:52 PM

Document Has Been Signed on 08/20/2026 12:17 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270924
ADMINISTRATOR/
DIRECTOR:		RAMSTORF, ALEXFACILITY TYPE:
830
ADDRESS:855 PASEO WESTPARKTELEPHONE:
(949) 262-0260
CITY:IRVINESTATE: CAZIP CODE:
92604
CAPACITY: 48TOTAL ENROLLED CHILDREN: 44CENSUS: 36DATE:
08/20/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Director Ramstorf AlexTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
NARRATIVE
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On August 20, 2026, at 9:00am, Licensing Program Analyst (LPA) Long Pham conducted an unannounced case management incident inspection in response to a self-reported Unusual Incident dated 07/31/2026. Upon arrival, LPA met with the director Ramstorf Alex and was led on a tour of the facility. LPA observed a total of 10 staff, and 36 infants.
A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 07/31/2026, a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported on 07/31/2026 around 9:20am that Staff #1 (S1) fed the wrong bottle of 1 ounce of breast milk to Child #1 (C1) that belonged to Child #2 (C2).



During the investigation, LPA toured the facility and interviewed 3 staff. LPA couldn’t interview the children because they are non-verbal.
During the inspection, LPA observed that each child's full name was listed on each bottle. Additionally, the LPA observed that the infant staff were initialing bottle logs when feeding children in care.

During staff interviews, Staff #2 (S2), Staff #3 (S3), and Staff #5 (S5) stated that Staff #1 (S1) admitted that S1 did feed the wrong bottle of breast milk belonging to Child #2 (C2) to Child #1 (C1). S3 emphasized that whenever any infant staff member takes a bottle to feed a child, they need to confirm with a co-worker and initial the staff name on the feeding log.

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Tina Nguyen
Long Pham
DATE: 08/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 304270924
VISIT DATE: 08/20/2026
NARRATIVE
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Based on the information gathered from the self-reported unusual incident report, and interviews with three staff, it was determined that the staff #1 (S1) fed the wrong bottle of breast milk to Child #1 (C1) that belonged to Child #2 (C2). California Code of Regulations, Title 22, Division 12, Chapter 1, Subchapter 02. Infant Care Center, 101427(b)(3)(C) Infant Care Food Service is being cited. See LIC809D for deficiency cited.

Exit interview was conducted and report was reviewed with the Facility Representative Ramstorf Alex.

A notice of site visit was given and must remain posted for 30 days.

Appeal Rights were explained. The Facility Representative was provided a copy of appeal rights (LIC 9058 01/16) 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. First level appeals should be sent to the regional manager to the address listed above.

End of Report.

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NAME OF LICENSING PROGRAM MANAGER: Tina Nguyen
NAME OF LICENSING PROGRAM ANALYST: Long Pham
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/20/2026 12:17 PM - It Cannot Be Edited


Created By: Long Pham On 08/20/2026 at 11:49 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 304270924

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/20/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/07/2026
Section Cited
CCR
101427(b)(3)(C)

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101427(b)(3)(C)Infant Care Food Service. (b) There shall be an individual feeding plan for each infant. (3) The plan shall include the following items: (C) Breast milk or kind of formula.

This requirement is not met as evidenced by
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The director Alex stated that they will train the staff on the Infant Care Food Service policy again and email LPA the documentation with the staff' signatures on or before 9/7/2026.
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Based on the self-reported unusual incident report, and staff interviews, it was determined that the staff #1 (S1) fed the wrong bottle of breast milk to Child #1 (C1) that belonged to Child #2 (C2) whiich poses a potential health, safety or personal rights risk to the persons in care.
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CCR

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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.
Tina Nguyen
NAME OF LICENSING PROGRAM MANAGER:
Long Pham
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/20/2026


LIC809 (FAS) - (06/04)
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