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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403511
Report Date: 03/19/2024
Date Signed: 03/19/2024 03:33:14 PM

Document Has Been Signed on 03/19/2024 03:33 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
PALMDALE CHILD CARE, 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: 33DATE:
03/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Assistant Director TIME COMPLETED:
04:00 PM
NARRATIVE
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On 03/19/2024 LPA Alemoh arrived at the above facility to conduct a case management visit in response to the receipt of an unusual incident report (UIR) from the facility. Upon arrival LPA observed 33 children with 3 staff, and two directors on site. At the time of this visit C1 was not present during today's inspection. The UIR was received by the licensing agency on 03/13/2024. LPA Alemoh arrived at the facility, met with the assistant director Melissa Rae, along with Director Pagie Martinez to review and discuss the submitted UIR. It was reported that on 03/08/2024 child #1 was left alone in the classroom. AD(assistant director), Melissa Rea and T2( teacher #2) observed C1 in a classroom which was supposed to be empty during lunch time. AD and T2 took C1 to the directors office to gather more information from C1 on why he was left in the classroom alone. Interviews revealed that T1 left C1 alone in the classroom for about five minutes due to a failed name to face roll call. The facility handled the situation by retraining all staff members on roll call, as well as name to face. The teacher who was in charge of C1 at time of this visit was not present.

Based on interviews with staff it was revealed that it was revealed that T1 did not conduct the proper “name to face” of the children thus leaving a child alone in the classroom for an period of time.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE: DATE: 03/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 197403511
VISIT DATE: 03/19/2024
NARRATIVE
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The facility will be cited a Type B deficiency. See page 809D.

Further information was gathered that all staff had completed the new CSR training's. Staff have signed off on their training that has been completed. Also along with newly updated CSR name to face checklists.

A copy of this report was provided to the directors along with the appeal rights and the notice of site visit must be posted for 30 days.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/19/2024 03:33 PM - It Cannot Be Edited


Created By: Andrew Alemoh On 03/19/2024 at 02:58 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 197403511

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/19/2024
Section Cited
CCR
101229(a)(1)

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101229(a)(1) Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1).
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Facility implemented new CSR trainings for all staff. Staff members signed off on the new CSR trainings. Per director she will send addtional trainings to LPA no later than 03/22/2024.

T1 has been terminated from the facility.

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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:Mariela Ramon
LICENSING EVALUATOR NAME:Andrew Alemoh
LICENSING EVALUATOR SIGNATURE:
DATE: 03/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/19/2024


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