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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270926
Report Date: 06/07/2024
Date Signed: 06/07/2024 03:11:51 PM

Document Has Been Signed on 06/07/2024 03:11 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:
304270926
ADMINISTRATOR/
DIRECTOR:
STRAND, STEPHANIEFACILITY TYPE:
850
ADDRESS:855 PASEO WESTPARKTELEPHONE:
(949) 262-0260
CITY:IRVINESTATE: CAZIP CODE:
92604
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 78DATE:
06/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:20 PM
MET WITH:Johanna CamposTIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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Licensing Program Analysts (LPA's) Thompson and Castro conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 5/28/2024. LPA met with assistant director Johanna Campos. LPA observed 78 preschool age children with 6 staff. When LPA's arrived children were laying on their cots.

During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. 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 5/31/2024, a self reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported on 5/28/2024,a teacher observed child #1 (C1) with blood on his fingers. The facility reported C1 appeared to have a scab or an old scratch that C1 had picked.

During today's inspection, LPA interviewed five staff and reviewed C1 file. C1 file did not have an Incident/Accident report present for LPA's to review.

Due to insufficient information available at this time, the reported incident needs further investigation.

Exit interview conducted and report was reviewed with assistant director Johanna Campos. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024
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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