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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603019
Report Date: 04/20/2023
Date Signed: 04/20/2023 03:17:12 PM


Document Has Been Signed on 04/20/2023 03:17 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:KINDERCARE LEARNING CENTER - PURSLANE (PRESCHOOL)FACILITY NUMBER:
343603019
ADMINISTRATOR:DEETS, PAMELAFACILITY TYPE:
850
ADDRESS:6825 PURSLANE WAYTELEPHONE:
(916) 723-9696
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:92CENSUS: 57DATE:
04/20/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Lucia VargasTIME COMPLETED:
03:45 PM
NARRATIVE
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On April 20, 2023 an unannounced plan of correction inspection was conducted by Licensing Program Analysts (LPA's) Lea Habtom and Michelle Pascual. The purpose of today’s visit is to follow up on the deficiencies assessed on April 11, 2023. LPAs met with designated staff member Lucia Vargas.

The census for today was 57 preschool children being supervised by 4 fully qualified teachers and 4 aides in the 2's, 3's and TK classrooms. Based on today's census, LPA's confirmed that the facility is in ratio with fully qualified staff to children in care. During today's inspection LPA's were able to clear the deficiency cited for the case management inspection cited on April 11, 2023.

During today's visit, it became known to LPAs that teacher Karen Baker was uncleared to work in the facility and had been working for two weeks. Due to this information a civil penalty was assessed.

In the areas that were evaluated, there was 1 Title 22 deficiencies cited during today's inspection. Exit interview conducted and report was reviewed with the Lucia Vargas. A notice of site visit was given and must remain posted for 30 days. Appeal rights were provided.

In the areas that were evaluated, deficiencies were cited during today’s inspection on 809-D. Exit interview conducted and report was reviewed with the Lucia Vargas. A notice of site visit was given and must remain posted for 30 days. Appeal rights were provided.

Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit


SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Michelle PascualTELEPHONE: (916) 594-3812
LICENSING EVALUATOR SIGNATURE:
DATE: 04/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/20/2023
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 04/20/2023 03:17 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833


FACILITY NAME: KINDERCARE LEARNING CENTER - PURSLANE (PRESCHOOL)
FACILITY NUMBER: 343603019

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/21/2023
Section Cited

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All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Request and be approved for a transfer of a criminal record exemption, as specified in Section 101170.1(r),
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Director will obtain criminal transfer exemption, and the teacher will not return to work until an exemption is obtained. LPA will conduct a follow up visit to confirm the teacher is not present within the facility.
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 unless, upon request for a transfer, the Department permits the individual to be employed, reside or be present at the facility.
This was not evidenced by LPAs confirming no transfer exemption was provided/approved for a specific teacher
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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: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Michelle PascualTELEPHONE: (916) 594-3812
LICENSING EVALUATOR SIGNATURE:
DATE: 04/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/20/2023
LIC809 (FAS) - (06/04)
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