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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003091
Report Date: 09/13/2022
Date Signed: 09/16/2022 01:58:32 PM

Document Has Been Signed on 09/16/2022 01:58 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198003091
ADMINISTRATOR:AMANDA SANCHEZFACILITY TYPE:
830
ADDRESS:830 W. MERCEDTELEPHONE:
(626) 918-5608
CITY:WEST COVINASTATE: CAZIP CODE:
91791
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 16DATE:
09/13/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Amanda Sanchez, DirectorTIME COMPLETED:
12:30 PM
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On 9/13/2022, Licensing Program Analyst (LPA) Thelma Razo conducted an unannounced Required - 1 year inspection. LPA met with Director Amanda Sanchez and stated the purpose of the visit. A COVID-19 risk assessment was made prior to entry to the facility. LPA provided Director with a copy of the LIC 125 Entrance Checklist to facilitate the inspection. This is an infant program which consists of two classrooms. Business hours are from Monday to Friday, 6:30AM to 6:00 PM. This facility has a preschool component (LIC198003089) and school age component (LIC #198003090).

All areas identified on the Facility Sketch were inspected. LPA was guided to a facility tour by Director Sanchez at 9:44AM. All areas identified on the Facility Sketch were inspected. The infant program is located adjacent to the center's pre-school program. The following staff were present during this inspection:
  • Staff #1, Staff #2, and Staff #3 with 8 infants in infant room.
  • Staff #4, Staff $5, and Staff #6 with 8 toddlers in toddler room.
The facility was observed to be within the license capacity and limitations.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2022
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198003091
VISIT DATE: 09/13/2022
NARRATIVE
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Furniture and equipment were inspected for age appropriateness and good repair. The facility has sufficient napping equipment, feeding chairs, and changing tables. Infants in this program are from the age of 0 to 24 months. Infants sleep on the cribs and toddlers on the cots. No infants were observed to be swaddled. Telephone service, heating, lighting and ventilation were evaluated. Infants have their own cubby to store their belongings. Bedding is provided by the facility and is washed at the end of the day. Per Director, the isolation area is located in a spare room. Age appropriate sinks were inspected for availability and good repair. General sanitation was observed. Availability of indoor drinking water was observed in the classroom.
Disinfectants, cleaning solutions, and other items that are dangerous to infants, were inaccessible to infants. Facility provides morning and afternoon snacks, lunch, and baby food/formulas. Menu was observed to be posted one week in advance.
Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Per Director, outdoor drinking water is being provided with a water jug and disposable cups. LPA advised that no children shall be left without the supervision of a teacher at any time.

All individuals present have obtained a criminal record clearance or criminal record exemption. The review of Staff records was documented on the LIC 859. Staff present have proof of the AB 1207 Mandated Reporter Training certificate on file. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. Staff present have proof against TB, measles, pertussis, and


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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198003091
VISIT DATE: 09/13/2022
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influenza. All staff have been given on the-job training on sanitation principles, housekeeping, including universal health precautions.
Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in.

According to Director, there are currently no children on medication. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/tion-process.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198003091
VISIT DATE: 09/13/2022
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There were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Ms. Danielle Rojas.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
LIC809 (FAS) - (06/04)
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