493001830-10-27-2023-01-CC-YYAG-CWZW2G-20231027165418

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 493001830
Report Date: 10/27/2023
Date Signed: 10/27/2023 04:54:28 PM

Document Has Been Signed on 10/27/2023 04:54 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	493001830
ADMINISTRATOR:	PEPPER, ALEXANDRIA		FACILITY TYPE:	830
ADDRESS:	6150 STATE FARM DRIVE		TELEPHONE:	(707) 584-0124
CITY:	ROHNERT PARK	STATE: CA	ZIP CODE:	94928
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 14	CENSUS: 11	DATE:	10/27/2023
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	03:23 PM
MET WITH:	Alexandria "Alex" Pepper		TIME COMPLETED:	04:42 PM

NARRATIVE

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An unannounced case management visit to the facility was made today by Licensing Program Analyst (LPA) Y. Yang in response to information obtained during previous complaint investigation visits to the facility by the LPA. During the complaint investigation, it was corroborated that several staff members (S1-S5) at the facility did not have early childhood education (ECE) units, as outlined in Title 22 regulations, needed to work alone without the direct supervision of a fully qualified teacher in the infant classroom.

Pepper stated that she is aware of the requirement that infant care staff shall have infant care related ECE units or work under the direct supervision of a fully qualified infant teacher. Pepper stated that S1-S4 are no longer employed by the center. Pepper stated that S5 now only works under the direct supervision of a fully qualified teacher. Pepper stated that the infant classroom is temporarily closed until the center can hire qualified infant care teachers.

Based on available information, the center director’s own admission, and the information obtained from interviews, the preponderance of evidence standard has been met; therefore, it was corroborated that staff S1-S5 were permitted to work without the direct supervision of a fully qualified teacher in the infant classroom. Title 22, is being cited on the attached LIC 809-D. An exit interview was conducted, and this report was read and discussed with the center director, Alex Pepper. Appeal rights were provided. The Notice of Site Visit shall be posted for 30 days.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023

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 10/27/2023 04:54 PM - It Cannot Be Edited

Created By: Yang Yang On 10/27/2023 at 03:02 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
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 493001830
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/27/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/03/2023 Section Cited CCR 101416.2(b)	1 2 3 4 5 6 7	Infant Care Teacher Qualifications and Duties. Prior to employment, an infant care teacher shall have completed, with passing grades, at least three postsecondary semesters or equivalent quarter units in early childhood education or child development, and three postsecondary semester or equivalent quarter units related to the care of infants, at an accredited or approved college or university.This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Center Director Pepper stated that the infant classroom is currently closed due to the center not having qualified staff to work in this classroom.
	8 9 10 11 12 13 14	Based on the LPA's interviews with staff and a personnel record review, the facility did not ensure that staff S1-S5 met the qualifications required to work in the capacity of a teacher. Record review indicates that S1-S5 were only qualified to work as an aide under the direct supervision of a teacher. Based on the LPA's interviews, it was corroborated that S1-S5 supervised awake children for a portion of the day without being under direct supervision of a qualified teacher, which poses a potential risk to the children in care.	8 9 10 11 12 13 14	Pepper stated that she will notify the LPA when the classroom reopens and will submit an updated LIC500 along with a written plan detailing staff's work schedule showing coverage of the infant classroom at the center.
	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:

Alexis Hollon

LICENSING EVALUATOR NAME:

Yang Yang

LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023

LIC809 (FAS) - (06/04)

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