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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003101
Report Date: 12/09/2022
Date Signed: 12/09/2022 12:23:05 PM

Document Has Been Signed on 12/09/2022 12:23 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 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: 136TOTAL ENROLLED CHILDREN: 125CENSUS: 98DATE:
12/09/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Mary BrammerTIME COMPLETED:
12:55 PM
NARRATIVE
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On 12/09/2022, about 11:40AM, Licensing Program Analyst (LPA) T. Tran conducted an unannounced case management inspection at Kindercare Learning Center. Upon arrival, LPA met with Mary Brammer, Center Director, and we toured the facility.

The purpose of today's inspection was to go over the water lead test results received on 11/30/22. Results show that water fountain sources had action level exceedance of lead. The water fountains located by the children outdoor play area had a lead result 5.5 ppb or greater. LPA observed facility had disconnected the water valve to permanently disabled the water fountains. Per facility representative, facility had provided children with individual water bottles and parents had the options of providing their children own water. A deficiency was cited to ensure that the water fountains noted will not be used as a drinking source or food preparation source for the children.

The deficiency listed on the following page were observed by LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. On 12/02/22, facility had emailed the plan of correction (POC) to permanently disabled the water fountains. POC is cleared during today's visit.

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

Exit interview conducted and report was reviewed with the facility representative, Mary Brammer.

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2022
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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Document Has Been Signed on 12/09/2022 12:23 PM - It Cannot Be Edited


Created By: Tiffanie Tran On 12/09/2022 at 12:14 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198003101

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/09/2022
Section Cited
CCR
101700.3(b)

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Result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance
This requirement was not met as evidence by record review. Lead test results showed that water fountain sources by the children play yard had an action level exceedance. This is a potential risk to the health and safety of the children in care.
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On 12/02/22, facility had provided a written statement on their plan to continue to ensure that the water source will not be used as a drinking and was permanently disabled. Facility provide filtered water for the children to drink by the use of water dispenser and paper cups.
POC was cleared during today's visit.

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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:Trevino Cochran
LICENSING EVALUATOR NAME:Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:
DATE: 12/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/09/2022


LIC809 (FAS) - (06/04)
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