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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364809073
Report Date: 10/17/2024
Date Signed: 10/17/2024 06:32:33 PM

Document Has Been Signed on 10/17/2024 06:32 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364809073
ADMINISTRATOR/
DIRECTOR:
SABRINA KATZFACILITY TYPE:
840
ADDRESS:16149 FOOTHILL BOULEVARDTELEPHONE:
(909) 823-2323
CITY:FONTANASTATE: CAZIP CODE:
92335
CAPACITY: 27TOTAL ENROLLED CHILDREN: 27CENSUS: 25DATE:
10/17/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:30 PM
MET WITH:Sabrina Katz TIME VISIT/
INSPECTION COMPLETED:
06:50 PM
NARRATIVE
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On the date and time listed above, Licensing Program Analyst (LPA) arrived at the facility on another matter. During the tour of the school age classroom, LPA noticed the cabinet on the far side of the room unlocked. LPA inspected this cabinet and saw chemicals stored in there for cleaning. At the time, there were no children in care and the staff in there was cleaning and organizing the room. Approximately 2 hours later, school age children had been picked up from their respective schools and they were sitting in the school age classroom and eating. LPA walked over to the same cabinet, on the far side of the room, and saw that it was still unlocked. There were two disinfecting sprays which both had "Medical Emergency" phone numbers to contact. Additionally, the following note was on them "CAUTION: Causes moderate eye irritation. Avoid contact with eyes or clothing. Wash thoroughly with soap and water after handling". The cabinet was about 4 feet high up, with the tallest child in the classroom being at least 5 feet tall. There was approximately 2 feet between the children sitting on a round table having their snack, from the cabinet.-SEE LIC809D

During another inspection conducted on another matter, LPA reviewed 4 children's files and 2 staff files. 3 out of 4 of the children's files were incomplete. Both of the staff files were incomplete-SEE LIC809D.

LPA Aman Lama informed the Director, Sabrina Katz to provide a copy of this licensing report dated January 9, 2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled, or newly enrolled by the next business day or the next day the child(ren) is(are) in care. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification and kept on file for 12 months from the date of this report.

Exit interview was conducted with site director, Sabrina Katz. A copy of this report, Notice of Site Visit, and Appeal Rights were provided. A notice of site visit must remain posted for 30 consecutive days.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2024
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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Document Has Been Signed on 10/17/2024 06:32 PM - It Cannot Be Edited


Created By: Aman Lama On 10/17/2024 at 05:58 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: 364809073

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/17/2024
Section Cited
CCR
101238(g)(1)

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Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (1)Storage areas for poisons shall be locked. Based on LPAs observation, there were two disinfecting sprays which both had:
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Immediately, director locked the cabinet and agrees to hold a meeting with her staff on the importance of reading labels to determine which chemicals go behind a key lock and which to keep inaccessible, and what that looks like, specifically in the school age classroom.
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"Medical Emergency" phone numbers to contact. Additionally, the following note was on them "CAUTION: Causes moderate eye irritation. Avoid contact with eyes or clothing. Wash thoroughly with soap and water after handling". This was not kept locked and was accessible to the school age children.
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Type B
11/01/2024
Section Cited
CCR101217(a)

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Personnel records shall be maintained on the licensee, administrator, and each employee, and shall contain specified information. During record review, 2 of 2 staff files were incomplete. This poses a health& safety risk to children in care.
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Director agrees to submit proof of files for S1 and S2 no later than the POC due date.

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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:Gilbert Sena
LICENSING EVALUATOR NAME:Aman Lama
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2024


LIC809 (FAS) - (06/04)
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