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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334805788
Report Date: 10/26/2023
Date Signed: 10/26/2023 06:30:29 PM

Document Has Been Signed on 10/26/2023 06:30 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334805788
ADMINISTRATOR:EVA HERNANDEZFACILITY TYPE:
830
ADDRESS:7920 LIMONITE AVENUE, SUITE GTELEPHONE:
(951) 681-1440
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY: 24TOTAL ENROLLED CHILDREN: 23CENSUS: 18DATE:
10/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Director Diana RamirezTIME COMPLETED:
06:30 PM
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On 10/26/2023 at 12:55 PM Licensing Program Analyst (LPA) Susan Brewer, arrived unannounced at the facility to conduct a 1 year required annual inspection for the Infant Program. LPA was granted entry by Director Diana Ramirez, LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following: The director left the facility at 3:48 PM and the Assistant Director Daniele Nava, continued with the inspection in the director’s absence.

Normal days and hours of operation are: Monday- Friday, 6:00 AM to 6:30 PM, In the Infant Room.

The inspection consisted of reviews of the following domains: Food Service; Reporting Requirements
Physical Plant; Care and Supervision; Children Records; Staff Records; Staffing Ratio and Capacity and
Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809D. The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days on or before 11/26/2023:

· LIC 500 Personnel Report, update requested.
· LIC 610 Emergency & Disaster Plan, update requested.
· Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made), update requested.
· LIC 309 Administrative Organization
· LIC 308 Designation of Administrative Responsibility
· The facility is operating within the terms of the license.
· Facility is clean, safe and sanitary and in good repair.
· Appropriate supervision and Ratios were met during this inspection where 18 infant children were supervised by 6 staff members.
·A fully charged fire extinguisher (2A:10BC) was observed. A smoke detector and carbon monoxide detector were present and tested by the Licensee during this inspection.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 10/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/26/2023
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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334805788
VISIT DATE: 10/26/2023
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· Rooms and activity areas are physically separated from other components.
· Rooms are equipped with age-appropriate furniture and equipment in good condition.
· Uncontaminated drinking water is provided in both the indoor and outdoor activity areas by public water supply and filtered water and bottled water.
· Napping equipment is sufficient for capacity and meets licensing requirements.
· Rooms are clean and free of hazards.
· Materials and surfaces accessible to children are toxic free.
· No weapons stored at the facility.
· There are no bodies of water present on 10/26/2023. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Medications are stored where inaccessible to infants: Located in a locked medicine cabinet located in the kitchen, which has a key lock doorknob.
· The center is equipped to isolate and care for any child who becomes ill during the day in the director’s office and the staff restroom would serve as the isolation area temporarily for ill children.
· Toxins are locked and Hazards are stored where inaccessible to infants.
· Toileting area was observed to be safe, sanitary and in operating condition.
· Outdoor play area is physically separated by appropriate fencing and is NOT free of hazards, where the facility has installed artificial grass/turf directly on top of a concrete slab, without padding underneath the material, which is used play area for infants. LPA Susan Brewer observed the artificial grass to be worn and lifted from the surface which is a tripping hazard for children and staff.
· Outdoor activity areas are supplied with age-and-size equipment in good condition.
· There is NOT sufficient cushioning material under high climbing equipment, swings, slides and similar equipment where the facility installed artificial rubber turf without padding to cushion a fall. LPA Susan Brewer observed an infant/toddler play structure with steps, a slide and platform located in the center area of the artificial turf. The artificial turf, which was once a rubber matting, is now hardened and rough to the touch and can no longer provide cushion for small children of infant or toddler age during outdoor play. In addition, LPA observed the artificial turf to be damaged with cracks in the center and deteriorating throughout the perimeter of the surface, where the turf material meets the blacktop and lifted at least 1-2 inches or more in several areas, which is a tripping hazard for small infant and toddler children just learning to walk, along with staff.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2023
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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334805788
VISIT DATE: 10/26/2023
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· Measures are taken to keep the facility free of flies, other insects and rodents.
· Food preparation area is clean and free of vermin.
· Food is stored appropriately and protected from contamination.
· All storage containers for solid waste have tight-fitting covers that are kept on, and in good repair.
· Individual feeding and Infant needs and service plans were reviewed and are complete for each individual infant were not available upon request during the inspection for children present and in care.
· During today’s inspection, LPA requested the LIC9227 Infant Sleep Plans for Infants up to 12 months, which were not available for review, nor did the facility provide documentation kept for sleep logs as required to show the Dates, Names, Time of 15-minute check and staff initials for children in care. LPA arrived at the facility during naptime, and requested sleep logs, however supervising staff were unable to provide sleep logs for 16 of 18 infant children present and in care. By admission, the facility director stated they facility does conduct 15-minute checks for infants after turning 12 months of age.
· Infant files were reviewed and are NOT complete: 4 of 6 files were missing the LIC701 Physicians report, 3 of 6 files were missing immunization records, 3 of 6 files were missing needs and services plans, 4 of 6 files were missing sleep logs.
· Sign in/Sign out record was reviewed and meets regulation requirements on 10/26/2023.
· A Staff member is NOT present with current Pediatric CPR/First Aid.
· Opening and closing staff member’s CPR/First Aid are online courses, which are not EMSA approved or Title 22 compliant.
· Director completed Health and Safety Training on 04/27/2023.
· Staff qualifications and files were reviewed and are NOT complete: 3 of 4 staff files reviewed were missing proof of measles, Influenza, and 1 of 4 staff files reviewed did not proof of required immunizations, MMR, Tdap and Influenza or letter to decline; Education is not verifiable for required units, 2 staff were missing their AB1207 Mandated Reporter training, 1 staff personnel forms were incomplete, 2 staff were missing the LIC503 Health screening.
· Staff have received on the job training for housekeeping, sanitation and universal health precautions.
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 0915/2023
· Documentation of Lead Testing is on file: 11/23/2022 No Action Level Exceedances reported.
· A review of staff records on 10/26/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2023
LIC809 (FAS) - (06/04)
Page: 3 of 15
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334805788
VISIT DATE: 10/26/2023
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The Licensee was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov, Licensee was informed of the Department has inspection authority per Health and Safety Codes.

AB2370 – Lead Exposure, day care facilities, effective January 1, 2019 –
The bill requires that all Child Care Centers, operating in a building constructed before January 1, 2010, shall have their drinking water tested for excessive lead levels, on or after January 1, 2020, but no later than January 1, 2023. Child Care Centers must thereafter test their drinking water every five years after the date of the initial test.

AB605 – Child day care facilities, birth to school-age license; Effective January 1, 2021

AB2960 – Child care and development services, online portal – Effective June 20, 2022 - This bill requires the State Superintendent of Public Instruction (SSPI), within the California Department of Education (CDE), to develop and post on CDE's website a comprehensive child care and development services online portal for families and providers by June 30, 2022.

Please subscribe at www.childcareadvocatesprogram to receive Department updates. They will be sent directly to your e-mail account once you have set up an account.
Duty Officer is available to answer questions Mon. – Fri. at 1-844-LET-US-NO (1-844-538-8766).

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication in the kitchen and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.

The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at:
http://www.ada.gov/childqanda.htm For CCCs: Incidental Medical Services (IMS) policy was discussed.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2023
LIC809 (FAS) - (06/04)
Page: 4 of 15
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334805788
VISIT DATE: 10/26/2023
NARRATIVE
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The facility representative, was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA Susan Brewer, discussed the safe sleep regulations with facility authorized representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

See LIC809D pages, for Type B Deficiencies cited this visit.

A civil penalty was not cited this visit.

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

Exit interview conducted and report was reviewed with the Assistant Director Daniel Nava.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2023
LIC809 (FAS) - (06/04)
Page: 5 of 15
Document Has Been Signed on 10/26/2023 06:30 PM - It Cannot Be Edited


Created By: Susan Brewer On 10/26/2023 at 04:49 PM
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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334805788

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101429(a)(2)(B)(3)(a)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: (3) Infants up to 12 months of age who are sleeping in a position other than on their back. (a) If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in LPA observed 2 infants in care, who did not have infant safe sleep plans available for children and staff, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/30/2023
Plan of Correction
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The licensee agrees to ensure the LIC9227 Infant Safe Sleep Plan is completed for all infant children under 12 months of age, maintained according to the Title 22 regulations and available for staff to referrence when supervising infant children. The licensee also agrees provide proof of staff participation in training of the Infant Safe Sleep standards, and to submit a statement of understanding the regulation to the department on or before 10/30/2023.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 3 of 4 staff files reviewed were missing proof of measles, Influenza, and 1 of 4 staff files reviewed did not proof of required immunizations MMR, Tdap and Influenza or letter to decline, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/17/2023
Plan of Correction
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The licensee agrees to provide proof of immunization records for subject staff on or before 11/17/2023.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Kimberly Williams
LICENSING EVALUATOR NAME:Susan Brewer
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2023


LIC809 (FAS) - (06/04)
Page: 6 of 15
Document Has Been Signed on 10/26/2023 06:30 PM - It Cannot Be Edited


Created By: Susan Brewer On 10/26/2023 at 04:49 PM
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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334805788

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in opening, closing and administrative staff did not have proof of EMSA approved CPR/1st Aid training which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/23/2023
Plan of Correction
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The licensee agrees to ensure at least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities; and submit proof of registration for training on or before the close of business day by 11/03/2023 and proof of completed training on or before 11/23/2023, to the department by fax, mail or e-mail.
Type B
Section Cited
CCR
101216(g)(2)(B)
Personnel Requirements
(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following: (B) The presence of any health condition that would create a hazard to the person, children or other staff members.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 2 of 4 staff files reviewed did not have proof of the LIC503 Health screening, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/17/2023
Plan of Correction
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The licensee agrees to ensure all staff participate in a health-screening conducted by a licensed physician and/or medical facility and submit the completed report signed by the person performing the screening, where the report shall indicate the following: (B) The presence of any health condition that would create a hazard to the person, children or other staff members; and submit the department on or before 11/17/2023 by fax, mail or e-mail.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Kimberly Williams
LICENSING EVALUATOR NAME:Susan Brewer
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2023


LIC809 (FAS) - (06/04)
Page: 7 of 15
Document Has Been Signed on 10/26/2023 06:30 PM - It Cannot Be Edited


Created By: Susan Brewer On 10/26/2023 at 04:49 PM
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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334805788

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101416.2(c)(1)
Infant Care Teacher Qualifications and Duties
(c) To be a fully qualified infant care teacher, a teacher shall have the following: (1) Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development education at an accredited or approved college or university.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based onrecord review, the licensee did not comply with the section cited above in 1 of 4 files reviewed did not have proof of verifiable transcripts of required units which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/27/2023
Plan of Correction
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The licensee agrees to submit verification of education from an accredited educations institution, with a breakdown of course curriculum that meets Title 22 regulations, and submit the information to the department on or before 11/27/2023.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review, the licensee did not comply with the section cited above in 2 of 4 staff files reviewed were missing proof of the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and/or the renewal mandated reporter training after two years following the date on which they completed the initial mandated reporter training. which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/27/2023
Plan of Correction
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4
The licensee agrees to ensure subject staff and all other employees working with daycare children complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training, and submit the proof of training certificates for subject staff on or before 11/27/2023 by fax, mail or e-mail.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Kimberly Williams
LICENSING EVALUATOR NAME:Susan Brewer
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2023


LIC809 (FAS) - (06/04)
Page: 8 of 15
Document Has Been Signed on 10/26/2023 06:30 PM - It Cannot Be Edited


Created By: Susan Brewer On 10/26/2023 at 04:49 PM
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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334805788

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101419.2(a)
Infant Needs and Services Plan
(a) Prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above in 3 of 4 records reviewed, did not have needs and services plans completed and/or available for staff to reference while caring for infant and toddler aged children, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/03/2023
Plan of Correction
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2
3
4
The licensee agrees to ensure that prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant, update quarterly or as needed, to be available upon request and submit proof of needs and services plans on or before 11/03/2023.
Type B
Section Cited
CCR
101220(a)
Child's Medical Assessments
(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in 4 of 6 files reviewed did not have proof of the LIC701 Physician's report, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/27/2023
Plan of Correction
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2
3
4
The licensee agrees to ensure that prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the children enrolled and attending the daycare, and submit proof of the completed LIC701 Physician's reports for the 4 subject children, on or before 11/27/2023, by fax, mail or e-mail.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Kimberly Williams
LICENSING EVALUATOR NAME:Susan Brewer
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2023


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Page: 9 of 15
Document Has Been Signed on 10/26/2023 06:30 PM - It Cannot Be Edited


Created By: Susan Brewer On 10/26/2023 at 04:49 PM
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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334805788

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101220.1(a)
Immunizations
(a) Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on record review, the licensee did not comply with the section cited above in 4 of 6 children's files were missing proof of immunization records, for children present, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/03/2023
Plan of Correction
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The licensee agrees to ensure that prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000, and provide proof of immunization records for the 4 subject children on or before 11/03/2023, by fax, mail or e-mail.
Type B
Section Cited
CCR
101429(a)(2)(C)(3)
Responsibility for Providing Care and Supervision for Infants
(C) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: (3) Time of each 15-minute check

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above in 16 of 18 children present and in care, during nap time, did not have infant safe sleep logs completed and by admission, the director stated as a regular practice, they only maintain 15 minute sleep logs for chidlren under 12 months of age, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/03/2023
Plan of Correction
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The licensee agrees to provide proof of staff participation in training regarding infant safe sleep regulation, a sign in sheet for participants and submit proof of sleep logs maintained for infant and toddler children enrolled in the daycare program beginning 10/27/2023, on or before 11/03/2023, by fax, mail or email.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Kimberly Williams
LICENSING EVALUATOR NAME:Susan Brewer
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2023


LIC809 (FAS) - (06/04)
Page: 10 of 15
Document Has Been Signed on 10/26/2023 06:30 PM - It Cannot Be Edited


Created By: Susan Brewer On 10/26/2023 at 06:04 PM
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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334805788

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.2(e)
Outdoor Activity Space: (e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in the artifical grass turf and rubber matting in the infant playground was observed to be deteriorating with visible cracks, hardened matting which has lost the protective factor of cushioning, significantly separated and/or raised from the surface blacktop throughout the perimeter of the material creating a tripping hazard, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/27/2023
Plan of Correction
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The licensee agrees to submit a written plan to address the artificial turf which has deteriorated in the outdoor play area, designated for the infant and toddler program, and submit the plan to repair the the outdoor playground on or before 11/27/2023, by fax, mail or e-mail.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
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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.
SUPERVISOR'S NAME:Kimberly Williams
LICENSING EVALUATOR NAME:Susan Brewer
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2023


LIC809 (FAS) - (06/04)
Page: 15 of 15