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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566207884
Report Date: 07/29/2021
Date Signed: 07/29/2021 04:09:16 PM

Document Has Been Signed on 07/29/2021 04:09 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:KINDERCARE LEARNING CENTER CAMFACILITY NUMBER:
566207884
ADMINISTRATOR:JENNIFER BREWERFACILITY TYPE:
850
ADDRESS:2360 PICKWICK DR.TELEPHONE:
(805) 445-8485
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY: 102TOTAL ENROLLED CHILDREN: 0CENSUS: 46DATE:
07/29/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:46 PM
MET WITH:Jennifer BrewerTIME COMPLETED:
03:00 PM
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On July 29, 2021 at 1:46 pm, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Annual/Random inspection. LPA met with facility Director Jennifer Brewer and advised her the purpose of the inspection. Prior to conducting the tour of the facility, LPA conducted Covid-19 screening questions. Director provided LPA a tour of the facility inside and out. There were 46 children in care at the time of the inspection.

LPA observed required licensing documents mounted on the wall in the front lobby. LPA observed the center menu. The center provides, breakfast, lunch, and two (2) snacks daily for children. The center has five (5) classrooms available for use. Currently they are only using three classrooms. Each classroom had toilets and sinks readily accessible for children in care. LPA did not observe any hazards/toxins items accessible to children in care. Each of the classrooms have age appropriate toys and furniture readily accessible for children in care. Facility provides children that are staying full day a sleeping cot during quiet time if they choose to sleep. LPA observed the secured medications. The outdoor playground has an ample amount of space for children to play. LPA observed the playground has age appropriate toys and structures available for children to use. The playground has ample amount of shade available. The facility has water available for children inside and out. Children use their own water bottles if they have them labeled with their name.

Continued on 809-C
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2021
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KINDERCARE LEARNING CENTER CAM
FACILITY NUMBER: 566207884
VISIT DATE: 07/29/2021
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Center uses the electronic application Kinder Care. A sampling of children and staff records were reviewed. Teachers have required qualifications. Teachers present have current Pediatric First Aid/CPR certificates that expire on 10/02/2022. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on 2/12/2023. LPA verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements. Facility is follow current Covid-19 guidelines.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

No deficiencies were cited during today's visit.



THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021
LIC809 (FAS) - (06/04)
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