<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270340
Report Date: 09/19/2023
Date Signed: 09/19/2023 02:50:27 PM

Document Has Been Signed on 09/19/2023 02:50 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:
304270340
ADMINISTRATOR:STAHL, VANESSAFACILITY TYPE:
830
ADDRESS:3223 ASSOCIATED ROADTELEPHONE:
(714) 990-6924
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 28DATE:
09/19/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Director Vanessa StahlTIME COMPLETED:
09:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 09/15/2023, Licensing Program Analyst (LPA) Romy Castanon conducted a Case Management due to deficiencies observed during today's inspection. Upon arrival, LPA conducted a self-guided tour. Director was performing morning transportation and Assistant Director Gelitzly Vargas had just arrived and needed to clock in.

A review of the Facility Personnel Report Summary on 09/19/2023 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

LPA entered Infant Room #2 and observed 9 infants and 2 staff members. LPA discovered an infant was dropped off just as LPA entered the room. LPA informed Assistant Director of the teacher to infant ratio. The Assistant Director immediately moved 2 infants to connecting Room #3. Room #2 was out of ratio for 5 minutes.

Based on LPA’s observation, the facility is being cited in accordance with California Code of Regulations, Title 22, Division 12, Section 101416.5 Staff-Infant Ratio.

Exit interview conducted and report was reviewed with Director Vanessa Stahl. Appeal Rights were discussed. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. Notice of site visit was given and must remain posted for 30 days.

Upon receipt, Director shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Director shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file.

End of Report

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 09/19/2023 02:50 PM - It Cannot Be Edited


Created By: Romelia M Castanon On 09/19/2023 at 02:30 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: 304270340

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/20/2023
Section Cited
CCR
101416.5(a)(b)

1
2
3
4
5
6
7
101416.5(a)(b) Staff-Infant Ratio (a) In addition to Sections 101216.3 (c), (e), (g) and (h), and notwithstanding Sections 101216.3, (a), (b), (d) and (f), the following shall apply: (b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director will no longer perform transportation duties so they will always be present at the facility starting 09/20/2023. Director will also create a written plan for staff to maintain ratio. Director will email signed plans for all staff by POC date.
8
9
10
11
12
13
14
Based on LPA's observation, Infant Room #2 had 9 infants and 2 staff. Room #2 was out of ratio for 5 minutes This poses an immediate risk to the health and safety of children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Patricia Magana
LICENSING EVALUATOR NAME:Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2