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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003101
Report Date: 06/04/2021
Date Signed: 06/04/2021 10:59:14 AM

Document Has Been Signed on 06/04/2021 10:59 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198003101
ADMINISTRATOR:MARY BRAMMERFACILITY TYPE:
850
ADDRESS:18727 CARMENITATELEPHONE:
(562) 924-8718
CITY:CERRITOSSTATE: CAZIP CODE:
90703
CAPACITY: 125TOTAL ENROLLED CHILDREN: 0CENSUS: 35DATE:
06/04/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Mary Brammer, DirectorTIME COMPLETED:
11:25 AM
NARRATIVE
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An unannounced Required One Year Inspection was conducted on this day by Licensing Program Analyst (LPA) Lucero. Facility is currently licensed for a capacity of 125 preschool children. Prior to arrival to the facility, LPA phoned facility at 8:25am to conduct COVID-19 pre-screening questions. During the COVID-19 pre-screening questions, it was stated that the facility is not aware of any staff or children having been exposed to COVID-19 persons within the last 14 days, no staff or children currently have COVID-19 related symptoms, and all staff and children are wearing facial masks as required.

Licensing staff met with Head Teacher Pamela Gregg as Director Mary Brammer was unavailable at the initial start of the inspection. LPA entered the facility at 8:30am and stated the purpose of the inspection. The program currently operates Monday through Friday from 6:30am to 6:30pm. Director Mary Brammer arrived to the facility at 8:40am and Licensing staff was taken on a guided tour of the facility of both indoors and outdoors at 8:45am by Director.

At the initial start of the site visit, there is a total census of 35 children and a total census of five teachers present. LPA observed ten children with one staff in Room 4, six children with one staff in Room 5, eight children with one staff in Room 2, five children with one staff in Room 1, and six children with one staff in Toddler Room 2 for a total census of 35 children with five staff.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings was observed. Mat/cot was inspected. LPA observed mats properly stored without touching one another. Availability of drinking water was reviewed. Director stated to help prevent the spread of COVID-19, the drinking fountains in the classrooms have been turned off as to deter those children who tend to place their mouths over the spigot.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Armando J Lucero
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2021
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198003101
VISIT DATE: 06/04/2021
NARRATIVE
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LPA observed individual water cups brought in by children in their cubbies and additional cases of water bottles provided by facility in case a child should forget to bring their own water bottle. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. Toys observed to be clean.

A first aid kit is kept in Director's Office and in each classroom. Carbon monoxide detector is present in the facility and was tested; observed to be in operational condition. Smoke detectors are present in the facility and are wired into the building. LPA was unable to test smoke alarm system as the system is hard wired throughout the building. Fire extinguishers have been serviced in January 2021. Hazardous items including poisonous cleaning compounds were stored inaccessible to children.

Snack/lunch menus were reviewed. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment. Facility provides lunch to the children in care.



Outdoor equipment was inspected for safety, cushioning material, good repair and appropriateness. Required shade, drinking water and fencing were inspected. LPA Lucero advised that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The children have access to drinking fountains during outside play; however, the fountains are turned off at the present time due to facility trying to prevent the spread of COVID-19. Director stated that children bring their water bottles out during outdoor play time. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

LPA discussed protocol in place in regards COVID-19. Staff stated protocol in place is having parents not fully enter the facility and sign in and out will take place at the front door entrance. The child care area is big enough to meet the 6 feet distance. staff scan the children for any symptoms such as fever, running nose, cough or child's behavior and will inform parent child cannot stay if any symptoms related to COVID-19 or if symptoms appear during the day, facility will isolate the child and call parent for pick up. Children will wash their hands during arrival, entering the facility from outdoor play, meal times, covering their cough and using the restroom. LPA observed hand washing posters posted in the bathroom and COVID-19 symptoms poster in the front entrance and hand sanitizer for parents (inaccessible to children). Director stated they are aware of cleaning, disinfecting and sanitizing and the importance of the constant hand washing.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Armando J Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
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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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198003101
VISIT DATE: 06/04/2021
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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

Teacher-child ratios were observed and staff names recorded. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. Personal Rights of children were observed by LPA.

Staff and Children’s Records were reviewed. Criminal Record Clearances were reviewed for adults. CPR/First Aid cards were reviewed. LPA determined that the CPR/First Aid courses taken were not EMSA certified.



The following was discussed with the Director:
Rooms that are off-limits need to be made inaccessible during operating hours. Smoking is prohibited. The Director was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.

The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked and batteries replaced as needed. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location.

Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Director was advised how to access forms and Regulations online at www.ccld.ca.gov. Director was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care. The Director was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Armando J Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198003101
VISIT DATE: 06/04/2021
NARRATIVE
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LPA advised Director that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check. The Director was also advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation. Director advised to visit www.shotsforschool.org for immunization information.

Director advised that indoor and outdoor supervision required at all times. If outdoor area not adequately fenced, provider must be with children at all times when outdoors.

There were no deficiencies cited during today's visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1. Exit interview, copy of report was given. Appeal rights were issued and discussed.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Armando J Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/04/2021 10:59 AM - It Cannot Be Edited


Created By: Armando J Lucero On 06/04/2021 at 10:01 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198003101

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/06/2021
Section Cited
HSC
1596.866(d)(1)

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Additional health and safety training:
Current pediatric first aid and pediatric CPR course completion cards issued by the American Red Cross, the American Heart Association, or by a training program approved by the Emergency Medical Services Authority pursuant to Section 1797.191.
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Director stated that all staff will enroll in the correct EMSA courses and will provide LPA a copy of correct courses taken via email by POC date of 07/06/2021.
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The requirement is not met as evidenced by:
during staff records review, LPA determined that staff did not have EMSA certified courses. This is a potential risk.
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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:Brandi VanOosten
LICENSING EVALUATOR NAME:Armando J Lucero
LICENSING EVALUATOR SIGNATURE:
DATE: 06/04/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/04/2021


LIC809 (FAS) - (06/04)
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