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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003115
Report Date: 03/08/2023
Date Signed: 03/08/2023 10:44:36 AM

Document Has Been Signed on 03/08/2023 10:44 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198003115
ADMINISTRATOR:GARCIA, MELISSAFACILITY TYPE:
830
ADDRESS:1175 VIA VERDETELEPHONE:
(909) 592-2220
CITY:SAN DIMASSTATE: CAZIP CODE:
91773
CAPACITY: 44TOTAL ENROLLED CHILDREN: 36CENSUS: 27DATE:
03/08/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:44 AM
MET WITH:Angel Haili & Melissa GarciaTIME COMPLETED:
10:50 AM
NARRATIVE
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Case management inspection conducted by Licensing Program Analyst Jennifer Hua. Upon arrival, LPA met with assistant director Angel Haili. The purpose of the visit was announced. A Covid-19 risk assessment was conducted. The purpose of this visit is to follow up on the incident that was reported on 2/23/23. It was reported that on 2/23/23, a staff reported to director that they had a concern about a co-teacher calling a child "sissy" and tells child "boys don't cry" and the co-teacher, while changing another child's diaper, co-teacher makes comments "how dirty you are and your uncircumcised penis", and says "your mom needs to clean you more". Director Melissa Garcia arrived at around 8:55am.

Interview conducted with director. Per director, during interview with staff 2 (S2), S2 admitted that they did tell Child 2 (C2) "you smell OMG! I need to talk to your parents" when changing child's diaper. S2 denied calling Child 1 (C1) a sissy and talking about child's genitals. Director also stated that S2 have been spoken to before regarding inappropriate statements made to other staff about children's hygiene and how parents should raise their children.

During this visit, director provided LPA a copy of Staff 1 (S1)'s written statement regarding what they observed and a copy of the employee interview notes with S2,

Based on record review and information received, deficiency cited on attached 809D.

An exit interview conducted with director. Notice of Site Visit form provided and shall be posted for 30 days in accessible for review.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jennifer Hua
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2023
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 03/08/2023 10:44 AM - It Cannot Be Edited


Created By: Jennifer Hua On 03/08/2023 at 10:08 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198003115

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/09/2023
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, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature ...The requirement is not met
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Per licensee, will have all staff complete training focusing on Personal Rights and will submit copy of agenda and staff sign in sheet that attended the training. Will submit to LPA by 3/31/23.
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as evidenced by: Staff spoke to child inappropriately, telling child "you smell and will need to talk to their parent" while child changing child's diaper. This poses a potential risk to the health and safety of 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.
SUPERVISOR'S NAME:Ana Chico
LICENSING EVALUATOR NAME:Jennifer Hua
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2023


LIC809 (FAS) - (06/04)
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