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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343602983
Report Date: 02/01/2023
Date Signed: 02/01/2023 03:06:25 PM

Document Has Been Signed on 02/01/2023 03:06 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:KINDERCARE LEARNING CENTER - VEHICLE (PRESCHOOL)FACILITY NUMBER:
343602983
ADMINISTRATOR:CARRIE ROBINSONFACILITY TYPE:
850
ADDRESS:2329 VEHICLE DRIVETELEPHONE:
(916) 635-5700
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: 45DATE:
02/01/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Carrie RobinsonTIME COMPLETED:
11:30 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Gagandeep Singh and Erwina Pascual-Golamco met with the facility director, Carrie Robinson, for a case management inspection related to the incidents at the facility. Purpose of the inspection was explained.

The facility self reported that on January 11, 2023, a staff member was accused of violating a child's personal rights. During today's inspection, LPAs interviewed the director and acquire the information related to the incident. LPAs found that after the incident, the facility interviewed the accused staff member, the reporting party of the accusation and children from the classroom. LPAs received the copies of statement of the accused staff member and reporting party's statement. Per director, during the interviews, no witness was found. Per director, during children's interviews, all children informed the positive interactions with the accused staff member and did not report any incident. Per director, during the interview with the reporting party, the information conflicted multiple times. Director stated that the facility has conducted the training with the staff member on children's personal rights.

The facility also self reported that on January 19, 2023, during the transition, a child was left in the play yard unsupervised. During today's inspection, LPAs inspected the play yard and interviewed the director. Director stated that because the children from two classroom were present and exchanged in the play yard, there was a confusion about who has a specific child and the child was left in the play yard. Per director, the child was left in play yard for less than five minutes. Per director, the staff has been retrained on supervision and transitioning. Per director, the facility has updated the form and procedure of checking children back inside the classroom from the play yard.


See next page for continuation ........
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 02/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/01/2023
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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Document Has Been Signed on 02/01/2023 03:06 PM - It Cannot Be Edited


Created By: Gagandeep Singh On 02/01/2023 at 10:36 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
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: KINDERCARE LEARNING CENTER - VEHICLE (PRESCHOOL)
FACILITY NUMBER: 343602983

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/02/2023
Section Cited
CCR
101229(a)(1)

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The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Per director, the facility has conducted the training for staff regarding supervision and improved the procedure of transitioning the children between classrooms.
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This requirement is not met as evidenced by the facility self reported that a child was left unsupervised in the play yard for less than five minutes. This poses an immediate health and safety risk to children in care.
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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:Natalie Dunaway
LICENSING EVALUATOR NAME:Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2023


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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: KINDERCARE LEARNING CENTER - VEHICLE (PRESCHOOL)
FACILITY NUMBER: 343602983
VISIT DATE: 02/01/2023
NARRATIVE
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Continuation from previous page ......

A Type “A” violation (see continuation) was issued today. The center is informed to provide a copy of the Evaluation Report and the Type “A” Deficiency cited to the parents and guardians of children currently enrolled in care and to parents of newly enrolled children during the next 12 months. A signed and dated LIC 9224 shall be maintained in all Children's files. This report and appeal rights were provided and reviewed with the licensee. Notice of Site Visit shall remain posted for 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023
LIC809 (FAS) - (06/04)
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