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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334812759
Report Date: 08/24/2022
Date Signed: 08/24/2022 01:59:13 PM

Document Has Been Signed on 08/24/2022 01:59 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334812759
ADMINISTRATOR:MICHELLE SOLORIOFACILITY TYPE:
830
ADDRESS:1080 HIGHGROVETELEPHONE:
(951) 371-9346
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY: 40TOTAL ENROLLED CHILDREN: 31CENSUS: 27DATE:
08/24/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:16 PM
MET WITH:Melinda Gaskin, Director TIME COMPLETED:
02:10 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Elyse Jones and Blanca Ruiz arrived at the facility to conduct a case management inspection in response to the receipt of an Unusual Incident Report (UIR) from the facility. The UIR was received by the licensing agency on 8/15/2022. The UIR states Child #1 walked out of his/her classroom without the three teachers present noticing and walked down the hall 10 feet to another classroom. The Staff who observed the child brought him/her inside the classroom and contacted management. Management picked Child #1 up from the classroom and took Child #1 back to the assigned classroom. During interviews it was revealed there were no other staff in the hallway with Child #1. Child #1 was alone in the hallway for approximately 1-2 minutes without supervision.

At the time of the inspection, LPAs toured the facility, took census, and met with Director, Melinda Gaskin. An interview with the Director was conducted to obtain details regarding the reported incident.

During the inspection, LPAs toured the facility, and the area where the alleged incident took place. Based on the information gathered, the following violation has been identified: 101429(a)(1) Responsibility for Providing Care and Supervision for Infants(a) In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Director admitted there was an absence of supervision and regulation was not met.

See Lic 809D for cited deficiencies of the California Code of Regulation, Title 22, Div. 12.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2022
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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334812759
VISIT DATE: 08/24/2022
NARRATIVE
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An exit interview was conducted, appealed rights discussed, Notice of Site Visit and a copy of this reports was provided to facility Director, Melinda Gaskin. Technical Support Program was discussed with Director and she is interested in any assistance the Department can provide.

A copy of this report must be made available to the public at the facility site, for 3 years.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 08/24/2022 01:59 PM - It Cannot Be Edited


Created By: Elyse Jones On 08/24/2022 at 01:23 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: 334812759

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/25/2022
Section Cited
CCR
101429(a)(1)

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Responsibility for Providing Care and Supervision for Infants
(a) In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.

This requirement was not met as evidence by:
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Director agrees to conduct in service training regarding sueprvision and will provide CCL with training date and a draft of the topics and tto be discused by 8/25/2022. The Director also agrees to provide a sign in sheet from the day of training.

$500 Civil Penalty assesed.
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Based on the interview and record review, the Licensee did not meet the regulation which poses an immediate Health, Safety & Personal Rights risk to the children in care. During record review the facility self-reported Child #1 walked away from his/her classroom. During and interview it was confirmed there was an absence of supervision by the Director.
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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.
SUPERVISOR'S NAME:Aaron Ross
LICENSING EVALUATOR NAME:Elyse Jones
LICENSING EVALUATOR SIGNATURE:
DATE: 08/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2022


LIC809 (FAS) - (06/04)
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