Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334808838
Report Date: 04/24/2017
Date Signed 04/24/2017 10:26:06 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334808838
ADMINISTRATOR:KARI SANDERSFACILITY TYPE:
830
ADDRESS:1655 HIDDEN VALLEY PARKWAYTELEPHONE:
(951) 898-5677
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:24CENSUS: 14DATE:
04/24/2017
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Kari SandersTIME COMPLETED:
10:30 AM
NARRATIVE
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On April 24, 2017, Licensing Program Analyst (LPA) Ana Noble arrived at the facility on a Case Management visit to follow-up on an Unusual Incident/Injury Report, LIC624, submitted by the facility on April 17, 2017. At the time of visit, LPA Noble toured the facility took census, and LPA Noble met with Kari Sanders, Center Director - to discuss the reported incident. During the visit, LPA also interviewed Staff #2. LPA attempted to interview Child involved in incident, however, due to child's age no information was obtained from child. Staff #1 denied picking up Child, to Center Director, in an in appropriate manner. The information that was obtained by credible, witnesses indicate that Staff #1, had picked up child inappropriately with one arm around the child stomach and carried the Child. The Child was then observed crying during the incident and after the child had been placed down by Staff #1.

Base on interviews conducted and information reported by the facility, the information reported to the Department was verified through interviews with relevant witnesses. On 4/13/2017 Staff #1 was observing carrying a Child inappropriate by one arm around the Child stomach, Child was observed crying, while Staff #1 carried the child and after the child had been placed down by Staff #1.

Based on the information obtained during the visit, there is a Violations of Title 22 Regulations pertaining to the reported incident. 101223(a)(3) Personal Rights. Each child shall be free from corporal or unusual punishment, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature.

See LIC809-D for deficiency
An exit interview was held with Director, Kari Sanders. A Notice of Site visit was issued, along with a copy of this report. This report shall be public record for three years.
SUPERVISOR'S NAME: Anita HiseTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Ana NobleTELEPHONE: (951) 782-6646
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2017
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334808838
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/24/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/25/2017
Section Cited
101223(a)(3)
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Personal Rights. Each child shall be free from corporal or unusual punishment, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature. On 4/13/17, Staff 1 was observed carrying a Child, with one arm around the child's stomach. Child was
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Director has already made the immediate correction and Staff#1, was placed on suspension pending Facility Investigation. Staff #1 is no longer employed by the facility. Director also agrees to conduct all staff training regarding Personal Rights, and appropriate ways to pick up children, submit proof to the Dept. by 4/25/17.
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observed crying during the incident and sat and cried after child was put down by Staff #1. This is an immediate risk to children in care.
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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: Anita HiseTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Ana NobleTELEPHONE: (951) 782-6646
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2017
LIC809 (FAS) - (06/04)
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