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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003113
Report Date: 05/06/2025
Date Signed: 05/06/2025 03:27:32 PM

Document Has Been Signed on 05/06/2025 03:27 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:
198003113
ADMINISTRATOR/
DIRECTOR:		GARCIA, MELISSAFACILITY TYPE:
850
ADDRESS:1175 VIA VERDETELEPHONE:
(909) 592-2220
CITY:SAN DIMASSTATE: CAZIP CODE:
91773
CAPACITY: 82TOTAL ENROLLED CHILDREN: 82CENSUS: 42DATE:
05/06/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:35 PM
MET WITH:Melissa Garcia, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:40 PM
NARRATIVE
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On May 6, 2025, Licensing Program Analyst's (LPAs) Monique Ayala and Diana Ortiz conducted an unannounced Case Management -Incident inspection at the above facility. LPAs were greeted by Director Melissa Garcia who guided LPAs on a tour of the facility. LPAs observed 42 children in care with 5 staff.

The purpose of the inspection is to follow up on an incident that was reported to the department on 04/24/2025, the incident occurred on 04/23/2025. The incident was reported timely to the department. The incident is a possible personal rights violation.

During the investigation, LPAs interviewed Staff #1 (S1) to Staff #4 (S4), LPAs interviewed Child #1 (C1) to Child #5 (C5), LPAs interviewed Parent #1 (P1) to Parent #3 (P3), LPAs obtained images of C1's upper right arm where injury was sustained, signed verbal training with S1 and obtained a current facility roster.

During interviews it was disclosed by C3 and C4 that S1 does grab their upper arm area during transition time. C3 and C4 demonstrated on LPA Ayala's arm how S1 grabs their arm. S2 to S4 did state that S1, is easily frustrated with the children and at times has a stern/harsh voice with the children. S3 provided LPAs with a training review for Unacceptable Child Guidance that was signed and dated by S1 on 02/02/025. Per S3, a verbal meeting was had with S1 due to their tone with the children. Per P1, C1 disclosed that S1 had yelled at C1 causing C1 to cry on a different occasion. Per C1, C1 was helping their friends with their blankets during nap time when S1 grabbed C1's upper right arm and took C1 back to the cot and told C1, "you need to stay on your bed". C1 stated that S1 yelled a little bit and was angry at C1. C1 stated, they didn't say anything to S1 because they didn't want to get in trouble.
NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Monique Jessica Ayala
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: 198003113
VISIT DATE: 05/06/2025
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C1 sustained bruising and nail marks on the right upper arm area. LPAs observed pictures taken on the day of the incident. Pictures observed show red colored bruising and what appears to be adult size nail prints. LPAs interviewed P1 who stated, during pick on 04/23/2025, C1 informed P1 that S1 hurt C1 arm. Per P1, C1 showed P1 the injury/bruising/nail marks on C1 upper arm area. Per P1, they asked S1 if anything occurred with C1 during the day. Per P1, S1 stated nothing happened and did know how C1 sustained the injury. Per P1, C1 told S1, "you did this to me". Per P1, S1 did not say anything and stated they didn't know what happened. P1 stated that they informed the director prior to leaving the facility. Images were obtained by the director. LPAs interviewed P2-P3 who did not disclose any information. C5 did not make any disclosures.

Based on interviews conducted, the facility is being cited a Type A deficiency in accordance with Title 22 Regulations, Personal Rights. C1 sustained an injury from S1 on their right upper arm area where there is bruising and nail marks. During the course of the investigation, it was disclosed by C1, C3 and C4 that S1 yells/raising their voice at the children, it was disclosed by S2-S4 that they have also observed S1 have a stern/harsh tone with the children. A verbal warning where a training review for Unacceptable Child Guidance was signed and dated on 02/02/2025.

LPA Ayala informed the director, Melissa Garcia to provide a copy of this licensing report dated 05/06/2025 that documents any type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report, A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child’s file for verification.

An exit interview was conducted and a copy of this report was provided along with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Monique Jessica Ayala
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/06/2025 03:27 PM - It Cannot Be Edited


Created By: Monique Jessica Ayala On 05/06/2025 at 01:48 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198003113

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/16/2025
Section Cited
CCR
101223(a)(3)

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Personal Rights: The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain... This requirement was not met as evidence by: Based on interviews conducted and record review, S1 has had a history with facility
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The facility has already placed S1 on administrative leave. Director will hold a staff meeting for all staff to review Personal Rights and provide LPA with a signed agenda by POC date (05/06/2025).
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adminstration and staff about having a stern/harsh tone with children in care. C1 stated that S1 grabbed C1 right upper arm where bruising and nail marks were embedded on C1 upper arm. This poses an immediate health and safety risk for children in care.
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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.
Ana Chico
NAME OF LICENSING PROGRAM MANAGER:
Monique Jessica Ayala
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/06/2025


LIC809 (FAS) - (06/04)
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