Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334808838
Report Date: 07/10/2017
Date Signed 07/10/2017 05:50:46 PM

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: 11DATE:
07/10/2017
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:58 AM
MET WITH:Kari SandersTIME COMPLETED:
06:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Kimberly Williams arrived at the facility on a case management inspection to follow-up on an Unusual Incident Report (UIR) submitted by the facility via fax on 06/30/17. During today's inspection, LPA toured the facility, took census, conducted interviews, and met with Director - Kari Sanders to discuss the reported incident. The UIR is concerning a child who had a dirty diaper with a rash present when the parent picked the child up for the day.

According to the facility, the child was observed to have a dirty diaper with a pre-existing rash during pick up on 06/28/17. Center policy is to check Infant diapers every hour and Toddlers diapers every two hours or as needed. According to interviews and documentation, the child's diaper was checked before outside play, it was dry at 3:55 pm, but not checked again before pick up at 4:50 pm.

According to Title 22, section 101428(b)(2) entitled Infant Care Personal Services "(b) The infant shall be kept clean and dry at all times. (2) Each infant's clothing and diapers shall be changed as often as necessary to ensure that the infant is clean and dry at all times." In the above reported incident, the child was not clean and dry during pick up on 06/28/17, therefore the center is in violation of section 101428(b)(2) entitled Infant Care Personal Services.

See LIC809D for cited deficiencies

An exit interview was conducted with Facility Director, Kari Sanders, appeal rights discussed, and a copy of this report was provided to Facility Director.
SUPERVISOR'S NAME: Anita HiseTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Kimberly WilliamsTELEPHONE: (951) 680-6841
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2017
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: 07/10/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/17/2017
Section Cited
101428(b)(2)
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Infant Care Personal Services: (b) The infant shall be kept clean and dry at all times. (2) Each infant's clothing and diapers shall be changed as often as necessary to ensure that the infant is clean and dry at all times. A child was not clean and dry during pick up on 06/28/17, this poses a possible risk to the health and safety of children
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Director stated she conducted a training on 06/29/17 with staff regarding proper diaper changing procedures and the importance of checking diapers frequently even when outside. Director agrees to submit a copy of the training agenda and staff attendance to Licensing by 07/17/17.
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in care due to diaper rashes and further irritation of existing diaper rashes.
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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: Kimberly WilliamsTELEPHONE: (951) 680-6841
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2017
LIC809 (FAS) - (06/04)
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