<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400331
Report Date: 08/23/2024
Date Signed: 08/23/2024 02:06:36 PM

Document Has Been Signed on 08/23/2024 02:06 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
434400331
ADMINISTRATOR/
DIRECTOR:		MAARIT MCCROSSENFACILITY TYPE:
850
ADDRESS:605 EAST DUNNE AVENUETELEPHONE:
(408) 778-1237
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY: 69TOTAL ENROLLED CHILDREN: 69CENSUS: 62DATE:
08/23/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:05 PM
MET WITH:Maarit McCrossenTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 8/23/2024, at 12:05 PM, Licensing program analyst (LPA), Doni Fici arrived unannounced to conduct a Case Management investigation. LPA was greeted by Director, Maarit McCrossen and explained the purpose of today's visit.

During the investigation, LPA interview three (3) staff. Based on interviews conducted with staff, three (3) out of 3 staff stated staff thought Child 1 (C1) was checked out at the time of the incident. Staff 3 (S3) did a roll call and counted 11 children, and staff 2 (S2) conducted a roll call and counted 10 children. S3 did a visual sweep of the yard and did not see C1. S3 brought all the children into the class while being transitioned inside and C1 was not seen in the class at 5:26PM. At 5:27PM, S2 went outside and did a sweep of the yard and saw C1 walking towards the class alone; C1 was seen by the slide of the playground. Parents were informed and notified. Director stated an emergency staff meeting was conducted on 8/20/2024 for a plan of action to immediately retain staff in CSR (Child Supervision Record),transitions, and Kinder Care app. Director stated she took disciplinary action to resolve the matter on the same day of retaining staff.

A civil penalty of $500 is being assessed during today’s investigation.

The following type A deficiency was cited on the attached page (809-D). Licensee was informed that failure to correct the deficiency by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted with Director, and a copy of this report review and provided along with appeal rights.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 08/23/2024 02:06 PM - It Cannot Be Edited


Created By: Liridon Fici On 08/23/2024 at 01:35 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434400331

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/24/2024
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
101229(a)(1)- Responsibility for Providing Care and Supervision: (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Director conducted an all staff meeting on 8/20/2024. Director agreed to compose a self-certification on section- 101229(a)(1) Responsibility for Providing Care and Supervision and have all staff read, signed, dated, and submit proof of signed letters to CCL by POC due date.
8
9
10
11
12
13
14
Based on interviews, the licensee did not comply with the section cited above by not supervising C1 appropriately and leaving C1 unsupervised without an adult present which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Gladys Kuizon
LICENSING EVALUATOR NAME:Liridon Fici
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2