<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403511
Report Date: 05/06/2022
Date Signed: 05/06/2022 11:47:47 AM

Document Has Been Signed on 05/06/2022 11:47 AM - 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
197403511
ADMINISTRATOR:ILIANA FARALDOFACILITY TYPE:
850
ADDRESS:18525 W. SOLEDADTELEPHONE:
(661) 251-9176
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 46DATE:
05/06/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Christina Barton, Assistant DirectorTIME COMPLETED:
11:50 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On May 6, 2022 Licensing Program Analysts (LPAs) Monique Ayala and Barbara Beneroso met with Assistant Director who guided LPAs on a tour of the facility. The purpose of this visit was to conduct a Case Management - Incident inspection. This Unusual Incident was self-reported within the time frame specified by regulations. Upon arrival LPAs observed 46 children in care with 4 fully qualified staff.

Description of incident: On 04/27/2022, Child 1 (C1) suffered a seizure in the PK classroom. Staff 1 (S1) noticed C1 having a seizure and placed C1 on C1's left side until paramedics arrived. S1 informed director who called 911 and notified C1's parent. Director stayed with C1 while C1 was seizing. C1 was taken to Northridge Hospital (Director stayed with C1 in the ambulance until C1's parents arrived) and received medical treatment. C1 stayed overnight in the hospital, and returned to school the following Monday.

During this inspection, LPAs interviewed staff, children and obtained a copy of the facility roster.

The facility is found to be in compliance with Title 22 Regulations, and not deficiencies are being cited.

An exit interview was conducted and a copy of this report was provided to the assistant director along with Notice of Site Visit.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1