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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364809087
Report Date: 07/19/2024
Date Signed: 07/19/2024 04:21:40 PM

Document Has Been Signed on 07/19/2024 04:21 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:
364809087
ADMINISTRATOR/
DIRECTOR:
TRACY BIERMANFACILITY TYPE:
850
ADDRESS:10451 COMMERCE STREETTELEPHONE:
(909) 796-9686
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 49DATE:
07/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:05 PM
MET WITH:Tracy Bierman, DirectorTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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On 07/19/2024 at 1:05 PM, Licensing Program Analysts (LPAs) Raymond Moorehead and Tiffanie Diep conducted a case management inspection with Tracy Bierman, Director and Ann-Marie Schoben, Assistant Director. A case management inspection is being conducted in response to the receipt of an Unusual Incident Report (UIR) from the facility. The UIR was received by the licensing agency on 06/26/2024 as the incident was self-reported.

The UIR documented an incident where a child reportedly did not go into their classroom from the playground during transition time. Further, it was reported that the child was sitting in the breezeway playground and was watching the school age children play. There were no injuries that were reported to occur as a result of the reported incident.

During today's visit, LPAs investigated the reported incident. Facility staff members were interviewed, documentation was obtained, a tour/census was taken, and LPAs inspected the area where the incident took place. During interviews, the following was disclosed. It was stated that the subject child was sitting at the gate that separates the school age playground from the breezeway playground, which is the pre-school's playground.

Further, LPAs observed the area in which the reported incident took place. No safety hazards were observed at this time. At the conclusion of the visit, it was determined that the child's classroom went inside their classroom without the subject child. However, it was reported that a school age teacher was present and supervising her class during this time and also was able to visually observe the subject child. It was also reported that the school age teacher knew that the subject child was near her and that when she checked on them again, she realized that their class had already went inside. Then, it was stated that the school age teacher immediately notified the front office and the subject child was walked back to their class.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/19/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364809087
VISIT DATE: 07/19/2024
NARRATIVE
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Based on the information obtained during today's visit, it was determined that Title 22 Regulation section 101229(a)(1) (Responsibility for providing Care and Supervision) was violated. The Regulation states that 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. See LIC809-D for cited deficiency.

LPA conducted an exit interview with Tracy Bierman, Director and provided a copy of this report. A Notice of Site Visit was issued and must remain posted for the next 30 days. Appeal rights were provided and discussed with Director.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/19/2024 04:21 PM - It Cannot Be Edited


Created By: Raymond Moorehead On 07/19/2024 at 03:50 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: 364809087

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/26/2024
Section Cited
CCR
101229(a)(1)

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Based on the information obtained during today's visit, it was determined that Title 22 Regulation section 101229(A)(1) (Responsibility for providing Care and Supervision) was violated. The Regulation states that no child(ren) shall be left without the supervision of a.....
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Director agrees to conduct a training regarding transition times for children, with all employees. Director agrees to submit a copy of the training's agenda and sign-in sheet for each teacher that attends.

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teacher at any time...Supervision shall include visual observation. It was determined that a preschool child's class transitioned into their classroom and one child was left in the breezeway playground. However, the subject child was observed by a nearby school-age teacher for the whole time until the child was walked back to their class.
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Director also agrees to submit a letter to LPA stating the plan on moving forward from the incident and state all corrective actions that will take place. Director agrees to send all plans of corrections to LPA via email by 07/26/2024 by 5:00 PM. Email to: Raymond.Moorehead@dss.ca.gov

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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:Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:
DATE: 07/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2024


LIC809 (FAS) - (06/04)
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