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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364830082
Report Date: 07/17/2024
Date Signed: 07/17/2024 04:07:47 PM

Document Has Been Signed on 07/17/2024 04:07 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364830082
ADMINISTRATOR/
DIRECTOR:		JEANNETTE HONNOLDFACILITY TYPE:
830
ADDRESS:13615 BEAR VALLEY ROADTELEPHONE:
(760) 949-8539
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 20DATE:
07/17/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:27 PM
MET WITH:Jeannette Honnold, DirectorTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On July 17, 2024, Licensing Program Analyst (LPA) Calloway met with the Facility Representative, for the purpose of an Annual/Random inspection of the infant/toddler program. LPA toured the center with the representative and observed the infant room with eleven (11) infants and three (3) staff in active play and napping, and toddler infant room there were nine (9) infant toddlers and one staff. The infant room consists of one classroom for infants ages: 0- 1 1/2 years old and the toddler room is one classroom ages: 1 ½ to 2 years old. The facility operates from Mon.- Fri. 6:30 am to 6:30 pm.
Infant room: LPA observed twelve cribs for each child in care. Bottles, dishes, sip cups, and containers were observed and labeled. Changing tables are within arm's reach of a sink. Ointments and sunscreen are kept in individual plastic sealed bags above changing table with documents of parent and/or physician's signed permission and key locked. Furniture and equipment were inspected and in good repair, clean, safe, and age appropriate. LPA observed soap, and paper towels readily available. Telephone service was verified. The facility has intercom systems that operate inside and outside each classroom and walkie talkies. All storage cabinets were locked. Heating, lighting, and ventilation are adequate. There were two (2) small refrigerators with water cups, bottled milk, and breast milk that are labeled, and the temperature is adequate for storage. Per staff, floors are mopped and vacuumed daily, and carpets are steam cleaned once a month.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE: DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364830082
VISIT DATE: 07/17/2024
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Toddler infant's classroom: LPA observed cubbies with their names labeled inside the classroom. There were age-appropriate toys, furniture, books, and materials. LPA observed cots available for napping children. Per staff cots, bibs, and sheets are cleaned daily. Staff use the restroom in the hallway. The bedding is stored separately. There are two sinks in the classroom, a small toilet, and a changing table with a sink near the changing table in arm’s reach. There is one handwashing sink and one regular sink. Fire extinguishers is near exit door, smoke detector/ carbon monoxide detector as operable. Sprinkler system in the ceiling and fire alarm pull observed in the lobby near the front entrance. Trash cans with lids in both classrooms and unused outlets (covered). Current Pediatric CPR and First Aid certificates were observed (expires: 2/2025).
Kitchen: Fully equipped kitchen with refrigerator, freezer, two ovens, steamer, dishwasher, and four (4) sinks. The facility provides breakfast, lunch, and afternoon snacks. Weekly menus are posted in the lobby, in the hall, and in the kitchen. Allergy lists are posted in each classroom and in the kitchen. LPA observed an appropriate amount of food and snacks. The chemicals are kept in a storage key locked cabinet inside the classroom.
Outdoors: Play equipment was inspected for health, safety, cushioning material, good repair, and is age appropriate. There is one playground for infant/toddlers that are physically separated from the other components by chain link fences that are securely anchored. There is a grass area for active play. All play structures are shaded with rubber for cushioning underneath. There is a shaded canopy for rest with table and bench. Drinking water provided with individual sip cups and a water pitcher observed in the outdoor play area. Per staff they are cleaned regularly. The area was observed to be free of debris. Play area was inspected for hazards and inaccessibility to bodies of water. There were no bodies of water on the premises.

Others: Daily Name-to-Face logs were observed in each classroom.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024
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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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364830082
VISIT DATE: 07/17/2024
NARRATIVE
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Sign in/out sheets were observed. Emergency backpacks are kept hanging on the wall in each classroom. Staff and children’s files reviewed. LIC 9227 forms and infant Safe Sleep logs were verified. Per representative, the infant logs are logged electronically. Postings were current on the wall and the Parent/Child Roster was current. Disaster, Fire/Earthquake drills were current. Fire: 6/10/24 and Earthquake: 6/5/24. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. Incidental Medical Services (IMS) were discussed. Per representative, no children in the infant/toddler program require IMS. Teacher/child ratios were observed compliant. Facility fees are overdue.

Children are inspected for illnesses as they arrive. A review of medication policy indicated that prescription medication is administered and only with parent's written permission. Only trained staff teachers or director administer medication and document the dosage, date, and time onto a log. Medication is brought and taken home by the parent daily or retained in the Director’s office properly labeled and stored in its original container. There is a separate area for isolation and care of ill children inside the Director’s office to wait for a parent to pick up. During the inspection LPA verified that IMS services were not being provided at this time.


Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5 years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024
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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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364830082
VISIT DATE: 07/17/2024
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Or LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. Lead Poisoning: For more information, go to the California Childhood Lead Poisoning Prevention Branch’s website at www.cdph.ca.gov/programs/clppb,or call them at (510) 620-5600.
Facility representative was reminded to review updates/regulations as well quarterly updates on the department website@ www.ccld.ca.gov. and advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent when a serious deficiency, Type A, is cited (LIC 9224) form is placed in the children’s files. All employees or volunteers prior to working in the facility have a Criminal Record Clearance and current immunization for Measles, Mumps, Rubella, and Pertussis.

Facility representative was informed of the MyChildCarePlan.org website, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at:


www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364830082
VISIT DATE: 07/17/2024
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/
subscribe and select the Child Care option to receive email communication.

The On Duty Worker is available for questions Monday through Friday at (661) 202-3318 from 8:00 AM - 5:00 PM for questions, information, and Unusual Incident Reporting.

Per Title 22 Regulations, Division 12, Chapter 1, there are deficiencies cited during this inspection. See 809D pages.

Exit interview was conducted and a copy of this report was read, a Notice of Site Visit, this report, and Appeal Rights were provided to Jeannette Honnold, Facility Representative. A Notice of Site Visit must remain posted for thirty (30) consecutive days. Failure to maintain posting will result in a $100 civil penalty.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/17/2024 04:07 PM - It Cannot Be Edited


Created By: Kuliema Calloway On 07/17/2024 at 03:46 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364830082

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/17/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101429(a)(2)(B)(3)(a)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: (3) Infants up to 12 months of age who are sleeping in a position other than on their back. (a) If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation and record review, the licensee did not comply with the section cited above in three infants C4, C5, and C6 did not have current LIC 9227 form inside their files which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/18/2024
Plan of Correction
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3
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Representative will provide proof of updated LIC 9227 form to licensing by POC date of 7/18/24.
Section Cited
Deficient Practice Statement
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4
POC Due Date:
Plan of Correction
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4
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:Claretta Yates
LICENSING EVALUATOR NAME:Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:
DATE: 07/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/17/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/17/2024 04:07 PM - It Cannot Be Edited


Created By: Kuliema Calloway On 07/17/2024 at 03:46 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364830082

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/17/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on observation, interview, record review, the licensee did not comply with the section cited above in Staff: S3, S4, and S5 did not have updated mandated reporter training in their files which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2024
Plan of Correction
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3
4
Representative will provide proof of mandated reporter by POC date
Type B
Section Cited
CCR
101220(a)(1)
Child's Medical Assessments
(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. (1) Such assessment shall be performed by, or under the supervision of, a licensed physician, and shall not be more than one year old when obtained.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in Children: C3, C7, C8, and C9 did not have a medical assessment in their files which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2024
Plan of Correction
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Representative will provide proof of Physican's medical assessment by POC date.
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:Claretta Yates
LICENSING EVALUATOR NAME:Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:
DATE: 07/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/17/2024


LIC809 (FAS) - (06/04)
Page: 7 of 8
Document Has Been Signed on 07/17/2024 04:07 PM - It Cannot Be Edited


Created By: Kuliema Calloway On 07/17/2024 at 03:46 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
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364830082

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/17/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101220.1(g)
Immunizations
(g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and record review the licensee did not comply with the section cited above in C3, C5, C6, and C10 did not have current immunization records in their files which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/31/2024
Plan of Correction
1
2
3
4
Representative will provide immunizations by POC date
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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:Claretta Yates
LICENSING EVALUATOR NAME:Kuliema Calloway
LICENSING EVALUATOR SIGNATURE:
DATE: 07/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/17/2024


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