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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566209102
Report Date: 03/18/2025
Date Signed: 03/18/2025 03:05:57 PM

Document Has Been Signed on 03/18/2025 03:05 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:KINDERCARE LEARNING CENTER VENFACILITY NUMBER:
566209102
ADMINISTRATOR/
DIRECTOR:		SHAWN SMITHFACILITY TYPE:
850
ADDRESS:1197 S. VICTORIA AVE.TELEPHONE:
(805) 339-9363
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY: 110TOTAL ENROLLED CHILDREN: 110CENSUS: 54DATE:
03/18/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:03 PM
MET WITH:Leon PaulTIME VISIT/
INSPECTION COMPLETED:
03:16 PM
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On 3/18/2025 Licensing Program Analyst (LPA) German Negrete made an unannounced visit for the purpose of completing a Case Management - Incident inspection. LPA met with Center Director Leon Paul and informed Director of the purpose for todays inspection. LPA conducted a walk through of the Child Care Center with the Center Director. LPA observed at the time of the walk-through 54 children being supervised by 3 staff.

On 1/16/2025, Program Specialist contacted Community Care Licensing (CCL) to self-report the following unusual incident : On approximately 8/15/2024 C1 was playing outside in the play ground with the rest of the children in the "two's" classroom. S1 and S2 were providing care and supervision to the children. According to S1 during transitioning, from outside to inside, C1 was brought into the Two's classroom, and was checked off on the "name to face" document. S1 stated, how S1 was informed by S3, how C1 was still out side in the play yard. It is still unclear who returned C1 back inside the two's classroom.

The additional incident under review by CCL, was self reported to the department on 8/01/2023. The reporting party stated: A parent approached Assistant Director (AD) and stated teachers were giving C1 gummy bears with melatonin. Parent is claiming when picking up C1 at the center, parent over heard, teachers were giving out gummy bears as a reward system for potty training. Continued On LIC809-C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KINDERCARE LEARNING CENTER VEN
FACILITY NUMBER: 566209102
VISIT DATE: 03/18/2025
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 Allegedly these gummy bears had Melatonin inside of them(LIC812). Teachers would place the gummy bears in a baggy and send the gummy bears home with the children.

Today LPA verified the 8/14/2024 unusual incident written report (LIC624) was emailed to CCL on 1/23/2025. The time and date of the 8/01/2023 unusual written incident report(LIC624) is still being reviewed by CCL.

Today LPA conducted staff interviews for both aforementioned unusual incidents. LPA requested and received a children's roster and staff roster.

The review/case management of both incidents by CCL is on going.

Exit interview Conducted and report was read to Director Leon Paul.

Notice of site visit was provided and must remain posted in a prominent publicly accessible area of the center.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2025
LIC809 (FAS) - (06/04)
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