304270926-11-18-2024-06-CC-MMAK-DB5VE8-20241118152157

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304270926
Report Date: 11/18/2024
Date Signed: 11/18/2024 03:22:05 PM

Document Has Been Signed on 11/18/2024 03:22 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 CENTER		FACILITY NUMBER:	304270926
ADMINISTRATOR/ DIRECTOR:	RAMSTORF, ALEX		FACILITY TYPE:	850
ADDRESS:	855 PASEO WESTPARK		TELEPHONE:	(949) 262-0260
CITY:	IRVINE	STATE: CA	ZIP CODE:	92604
CAPACITY: 96	TOTAL ENROLLED CHILDREN: 96	CENSUS: 65	DATE:	11/18/2024
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:30 PM
MET WITH:	Director, Alex Ramstorf		TIME VISIT/ INSPECTION COMPLETED:	03:55 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	Page 1 of 2 Licensing Program Analyst (LPA), Mahnaz (Nancy) Malek conducted an onsite case management inspection due to an incident that the facility self reported to our office on 11/15/2024. LPA met with director, Alex Ramstorf. LPA took census. There were a total of 65 napping preschool children with 5 staff. There were 12 napping children with one staff, 20 napping children with one staff, 14 napping children with one staff, 10 napping children with one staff, and 9 napping children with one staff in 5 different rooms. According to the self incident report, 2 year old child was left unattended in the classroom for few minutes during transitioning to another classroom. 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. Today, LPA interviewed the director, Staff # 1 (S1), Staff # 2 (S2), and Staff # 3 (S3) who had information regarding the incident. During interview with staff, Staff # 1 (S1) stated S1 was transitioning children from one room to the transitioning room few feet away from each other so children nap in the transitioning room with the other group of children. S1 admitted S1 conducted name to face with children when they were leaving the room for the transitioning room. However, S1 admitted S1 did not properly check the name to face when they arrived in the transitioning room. S1 did not realize Child # 1 (C1) was not in the group. S1 estimates C1 was left unattended in the first classroom for 3 minutes. S2 notified S1 and S3 of C1's presence in the hallway between the two rooms. S2 stated S2 was in the hallway when S2 observed C1 opened the door of the original room and came out. S2 stated S2 heard S1 was calling children's names in the hallway before going inside the transitioning room. S3 stated S3 was already in the transitioning room when S1's children arrived for nap time. S3 heard Continued on page

Thuy Ho	TELEPHONE: (714) 703-2741
Mahnaz Malek	TELEPHONE: (714) 292-9851
	DATE: 11/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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 CENTER	FACILITY NUMBER: 304270926
	VISIT DATE: 11/18/2024

NARRATIVE

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S1 calling children's names conducting name to face but not sure if all the children were marked off correctly on the log. S3 estimates C1 was left unattended for few minutes.
LPA reviewed the internal Kindercare log for Children's Supervision Record (CSR) dated 11/14/2024. LPA observed the time of transitioning was recorded 11:47 am. S2 stated they saw C1 coming out of the classroom around 11:50 am. So it is not determined the exact time but it is estimated C1 was left unattended for 3 minutes.

Based on the staff interviews, S1's admission, and reviewing Child Supervision Record (CSR) for the day of 11/14/2024, it is estimated C1 was left unattended for 3 minutes in the classroom and C1 was not transitioned to the transitioning classroom during transitioning time. California Code of Regulations, Title 22, Division, Chapter 12, is being cited on the attached LIC 9099D for the deficiency sections 101229(a)(1) Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs (1) No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation. This is a repeat violation of the same section of 101229(a)(1) that was issued on 6/12/2024. An immediate civil penalty of 250.00 for is assessed for 11/18/2024 and 100.00 per day until is corrected.

Director, Alex Ramstorf was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00. LPA Malek informed the director, Alex Ramstorf that this report dated 11/18/2024 documents type A citation shall be posted for 30 consecutive days as there is immediate risks to the health, safety, or personal rights of children in care. Also, LPA Malek informed the director, Alex Ramstorf to provide a copy of this licensing report dated 11/18/2024 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report.
A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Director, Alex Ramstorf was provided with 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. The exit interview was conducted with director, Alex Ramstorf.
End of report

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 703-2741
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

Document Has Been Signed on 11/18/2024 03:22 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 304270926
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs (1) No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation.
	Deficient Practice Statement
1 2 3 4
	POC Due Date: 11/19/2024
	Plan of Correction
1 2 3 4	This is a repeat violation of the same section of 101229(a)(1) that was issued on 6/12/2024. An immediate civil penalty of 250.00 is assessed today and 100.00 per day if not corrected. The director agreed to send a staff meeting agenda discussing the supervision of children including transitioning time. The statement with the staffs' signatures acknowledging the importance of

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Thuy Ho	TELEPHONE: (714) 703-2741
Mahnaz Malek	TELEPHONE: (714) 292-9851
	DATE: 11/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024

LIC809 (FAS) - (06/04)

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