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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270379
Report Date: 11/09/2022
Date Signed: 11/09/2022 03:31:47 PM

Document Has Been Signed on 11/09/2022 03:31 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270379
ADMINISTRATOR:MIRANDA MCNEILLFACILITY TYPE:
850
ADDRESS:25507 MOULTONTELEPHONE:
(949) 470-0099
CITY:ALISO VIEJOSTATE: CAZIP CODE:
92656
CAPACITY: 78TOTAL ENROLLED CHILDREN: 78CENSUS: DATE:
11/09/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Director, Miranda McNeillTIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Dianna Valdez Santana conducted a case management investigation for the incident that the facility self-reported to licensing office on 10/28/2022. According to the incident report, the incident occurred on 10/26/22 at approximately 3:45 PM. A staff member disclosed to the director observing a staff member grab a child by the wrist and pulled her around and heard her tell the child, “you are not a good listener".

Upon arrival LPA, was met by Director, Miranda McNeill. Director provided a tour of the facility. LPA observed 5 preschool staff and 43 preschool children in care during today’s visit. Staff was explained the reason for today's visit upon arrival.

A review of the Facility Personnel Report Summary conducted on 11/9/2022 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the investigation, it was disclosed former Staff #1(S1) was observed grabbing C1's wrist and pulled C1 around.



During today's visit, LPA interviewed 2 staff, obtained a copy of the children's roster (LIC 9040) and reviewed staff files. LPA was unable to interview children due to being too young and non-verbal. Per the Director, Child #1 (C1) is nonverbal so no interview was conducted with C1. Due to insufficient information available at this time, further interviews and documentation is needed, the case management for the incident needs further investigation. Exit interview conducted with Director, Miranda and notice of site visit must be posted at entrance of facility. Notice of site visit is to remain posted for no less than 30 days. Failure to post will result in civil penalties of $100. Appeal Rights was explained. A copy of appeal rights (LIC 9058) was provided and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report. End of Report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2022
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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