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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270339
Report Date: 09/25/2024
Date Signed: 09/25/2024 02:39:39 PM

Document Has Been Signed on 09/25/2024 02:39 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270339
ADMINISTRATOR/
DIRECTOR:		STAHL, VANESSAFACILITY TYPE:
850
ADDRESS:3223 ASSOCIATED ROADTELEPHONE:
(714) 990-6924
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY: 106TOTAL ENROLLED CHILDREN: 106CENSUS: 57DATE:
09/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:Director Vanessa StahlTIME VISIT/
INSPECTION COMPLETED:
02:55 PM
NARRATIVE
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On 09/25/24, A case management inspection was conducted today by Licensing Program Analyst (LPA) Chan who met with the director Vanessa Stahl. Upon arrival there were 3 staff present and 57 children in care. Children were napping when LPA arrived.

A self-reported incident by the facility was received at the regional office on 09/24/2024, which states that on 09/23/24, a child (C1) was left alone and unsupervised in the classroom.

Based on staff interview, on 9/23/24, C1 was left in classroom #9 unattended around 4:15pm, when the rest of the class transitioned to the playground. Another parent found the child in the classroom and brought the child to the playground with the class. Director stated, C1 representative was immediately notified of the incident.



The facility was not in compliance with the California Code of Regulations, Title 22, Division 12, Section 101229(a)(1) Responsibility for Providing Care and Supervision and is being cited on the attached LIC809D. This is a repeat violation from a citation issued on 3/15/24 and an immediate civil penalty was assessed.

LPA Chan informed director Vanessa Stahl that this report dated 09/25/2024 for Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Chan informed Director Vanessa Stahl to provide a copy of this licensing report dated 09/25/2024 Type A citation 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.

Exit interview conducted and report was reviewed with the Director Vanessa Stahl. A notice of site visit was given and must remain posted for 30 days.


End of Report
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2024
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 09/25/2024 02:39 PM - It Cannot Be Edited


Created By: Anna Francesca Chan On 09/25/2024 at 01:59 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 304270339

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/26/2024
Section Cited
CCR
101229(a)(1)

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101229(a)(1) Responsibility for Providing Care and Supervision 101229(a)(1): No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1). This requirement is not met as evidenced by:
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Director stated the facility will conduct a Child Supervision Record (CSR) Name to face training with staff and a coaching form for staff will be written by the disctrict leader. Documents will be provided to LPA by due date 9/26/24.
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Based on the self-reported incident and staff interviews conducted and record review, it was determined that C1 was left in the classroom alone without supervision, which poses an immediate risk to the health and safety of the 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:Martha Malane
LICENSING EVALUATOR NAME:Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:
DATE: 09/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/25/2024


LIC809 (FAS) - (06/04)
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