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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403593
Report Date: 08/20/2024
Date Signed: 08/20/2024 10:35:43 AM

Document Has Been Signed on 08/20/2024 10:35 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
197403593
ADMINISTRATOR/
DIRECTOR:		GARCIA, THANIAFACILITY TYPE:
850
ADDRESS:17730 RINALDI STTELEPHONE:
(818) 363-8442
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 30DATE:
08/20/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Thania Garcia, DirectorTIME VISIT/
INSPECTION COMPLETED:
10:45 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 08/20/2024 at 09:30 AM, Licensing Program Analyst (LPA) Elicia Calvillo conducted an unannounced visit for Case Management -Other visit. LPA identified self and met with Thania Garcia, Director who guided LPA on a tour of the inside and outside of the facility. LPA observed 30 Children and 4 staff.

During today's visit, LPA reviewed the Criminal Record Clearance for Staff #1 and Staff #2, issued citations, and assessed civil penalties.

On 05/21/2024, LPA conducted a unannounced site visit to the facility and found that Staff #1 and Staff #2 were employed by the facility and did not have an Criminal Record Clearance associated to the facility. Facility representative did not request a transfer of a criminal record clearance for those individuals subject to a criminal record review.

On 05/22/2024, Facility representative requested a transfer of the criminal record clearance for Staff #1 and Staff #2 for those individual subject to a criminal record review.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22, Division 12 Chapter 3, Section number 101170 (e) (2) Criminal Record Clearance and a civil penalty assessed for $100.00 for each staff.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2024
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 197403593
VISIT DATE: 08/20/2024
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
26
27
28
29
30
31
32
A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. During this visit, the Director was provided with a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports Form and LIC 995A Notification of Parents’ Rights


The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Thania Garcia, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3
Document Has Been Signed on 08/20/2024 10:35 AM - It Cannot Be Edited


Created By: Elicia Calvillo On 08/20/2024 at 10:13 AM
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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 197403593

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/21/2024
Section Cited
CCR
101170(e)(2)

1
2
3
4
5
6
7
101170 (e) (2) Criminal Record Clearance
(e) All individuals subject to a criminal record review … shall prior to working, residing or volunteering in a licensed facility:
(2) Request a transfer of a criminal record clearance… This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Per Director, Staff #1 and Staff #2 completed a Criminal Record Clearance transfer to the facility on 05/22/2024. LPA reviewed Guardian and found that Staff #1 and Staff #2 are associated to the the facility effective 5/22/2024.
8
9
10
11
12
13
14
Based on interivews and record review, the facility did not request a Criminal Record Clearance transfer for Staff #1 and Staff #2 before their employment start date, which poses an immediate health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Rita Ramos
LICENSING EVALUATOR NAME:Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:
DATE: 08/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/20/2024


LIC809 (FAS) - (06/04)
Page: 2 of 3