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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270484
Report Date: 06/19/2024
Date Signed: 06/19/2024 11:27:16 AM

Document Has Been Signed on 06/19/2024 11:27 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270484
ADMINISTRATOR/
DIRECTOR:
VASSEGHI, MOJGANFACILITY TYPE:
850
ADDRESS:30062 SANTA MARGARITA PARKWAYTELEPHONE:
(949) 888-8880
CITY:RANCHO STA MARGARISTATE: CAZIP CODE:
92688
CAPACITY: 78TOTAL ENROLLED CHILDREN: 78CENSUS: 46DATE:
06/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Director Mojgan VasseghiTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
NARRATIVE
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On 6/19/24 at 9:00 a.m., Licensing Program Analyst (LPA), Christine Jung conducted an unannounced case management inspection to follow up on an incident that was self-reported to the Department. Upon arrival, LPA met with Director, Mojgan Vasseghi. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were 46 children and 6 staff members present. Hours of operation are Monday through Friday 6:30 a.m. to 6:30 p.m.

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

An unusual incident report (UIR) was submitted to the Department on 6/13/24 reporting an injury to Child 1 (C1). The facility reported that on 6/12/24 C1 sustained an injury while playing on the playground which required medical attention. Interviews were conducted with staff members and C1’s authorized representative. C1 could not be interviewed as they were no longer enrolled at the facility. Facility staff reported the incident to the Department in a timely manner. During today's inspection, LPA interviewed staff, reviewed files, and obtained documents pertinent to the UIR. If any deficiencies were observed, disclosed, or discovered during today's visit, they will be addressed and cited at a later date.

Due to insufficient information available at this time, the reported incident needs further investigation.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Mojgan Vasseghi.

End of Report.

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE: DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2024
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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