304270379-5-30-2023-06-CC-MMAK-CSBR3E-20230530123948

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304270379
Report Date: 05/30/2023
Date Signed: 05/30/2023 12:39:52 PM

Document Has Been Signed on 05/30/2023 12:39 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	304270379
ADMINISTRATOR:	TUCKER, ALYCIA		FACILITY TYPE:	850
ADDRESS:	25507 MOULTON		TELEPHONE:	(949) 470-0099
CITY:	ALISO VIEJO	STATE: CA	ZIP CODE:	92656
CAPACITY: 78	TOTAL ENROLLED CHILDREN: 78	CENSUS: 47	DATE:	05/30/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Director, Alycia Tucker		TIME COMPLETED:	01:15 PM

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	Page 1 of 2 Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a case management inspection of the facility for the purpose of increasing the capacity from 78 preschool children to 86 children by removing 2 rooms off of the preschool license and adding them to infant licence, The facility is adding 2 school age rooms from school age program to their preschool program. The facility has closed the school age program as of 5/22/2023. LPA met with director, Alycia Tucker who gave LPA a tour of the facility. Currently the facility is licensed for 78 preschool children ages 2 to 6 years old in 4 rooms. LPA observed a total of 6 staff with 47 children in these rooms. A review of the Facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The facility has requested to provide care and supervision to 86 preschool children ages 2 to 6 years old in 5 rooms, Monday to Friday from 6:30 am to 6:30 pm and one Friday until 10.00 pm. Children are dropped off, signed in and out electronically at the entrance of the building to go to assigned rooms. The facility has met all the posting requirements. All the classrooms were measured. The indoor activity space measurement for the current requested capacity is as follows: Preschool Room # 1 is: 487.53 square feet Preschool Room # 2 is: 674.28 square feet Preschool Room # 3 is: 923.61 square feet Preschool Room # 4 is: 946.20 square feet Preschool Room # 5 is: 1017.30 square feet Total indoor activity space is: 4048 square feet divided by 35=115.68 ( 116 children) Continued on page 2

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023

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

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 304270379
	VISIT DATE: 05/30/2023

NARRATIVE

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Total of toilets 10 X 15 = 150 children
Total of sinks: 12 X 15 = 180 children
The sinks are located inside the classrooms.

Total outdoor activity space measurement is as follows:
Outdoor space for the preschool playground # 1 is 11767 square feet divided by 75 = 115.68
(116 children).
Outdoor space for the preschool playground # 2 is 10418 square feet divided by 75- 138.90
(139 children).
No hazardous observed on the playground. There are adequate cushioning under the climbing structure.
The facility is equipped with carbon monoxide detector. All the classrooms have age appropriate toys and equipment.
Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Orange county Fire authority has approved the facility for maximum of 86 preschool children. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform
A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with the director, Alycia Tucker.

Based on today’s indoor and outdoor measurements, the sinks and toilets availability, the request of the facility for increasing to 86 children in Preschool Rooms 1, 2, 3, 4, and 5 will be final reviewed and discussed with management in the Regional Office. The facility will be notified if any additional information is required.

End of report

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2