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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270897
Report Date: 12/18/2024
Date Signed: 12/18/2024 12:47:10 PM

Document Has Been Signed on 12/18/2024 12:47 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:
304270897
ADMINISTRATOR/
DIRECTOR:		PATTERSON, JENNIFERFACILITY TYPE:
840
ADDRESS:1001 EAST IMPERIAL HWYTELEPHONE:
3108876400
CITY:PLACENTIASTATE: CAZIP CODE:
92870
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 0DATE:
12/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Director, Jennifer PattersonTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On 12/18/24 at 12:15pm, Licensing Program Analyst (LPA) Sarah Garcia conducted a case management- incident visit in response to a self-reported unusual incident report (LIC 624) received on 10/14/24 regarding children being left unattended. This is a follow up visit initiated on 10/22/24. LPA met with director, Jennifer Patterson. A walk through of the facility was conducted, and census was taken. Total census was 0 school age children and 0 staff.

On 10/14/24, a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported that on 1/10/24 at approximately 1:30pm, a group of school age children had been left alone for approximately two minutes by Staff 4 (S4). On 01/10/24, Staff 4 (S4) had transported a group of school age children to the School Age classroom 2. In searching for Staff 3(S3), they saw another teacher, Staff 1(S1) in the classroom next door. S4 left the classroom for approximately 2 minutes, upon return S1 and S2 (S2) informed management that S4 left the children unattended.

During staff interviews on 10/22/24, Staff 1 (S1) stated, “I was on my lunch S4 came in looking for who was in the classroom, and S4 was walking away and left the kids.” S1 stated, “S4 was standing in the between the divider and wall and [they] turned back and said shut up. [The children] were being loud, and S4 yelled at the kids shut up.” Staff 2 (S2) stated, “S4 brought them there [school age 2] and came over to me and S1 was on her lunch in the middle class. S4 was asking if we knew. I can’t remember if S4 told the kids to shut up."

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 CENTER
FACILITY NUMBER: 304270897
VISIT DATE: 12/18/2024
NARRATIVE
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Staff 3 (S3) stated, ‘What I had heard was that S4 came back from the bus run walked the kids to the classroom two S4 came back to see who was going to relieve them. S4 went back and that was that.”

LPA interviewed (4) children on 10/22/24. Children made no disclosures regarding the incident.

Based on interviews and record review, it has been determined that S4 left daycare children unattended, S4 yelled at day-care children in care, and facility did not report this incident to the Department in a timely manner.

LPA Sarah Garcia informed director, Jennifer Patterson that this report dated 12/18/24 document(s) (2) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, and personal rights to the children in care. Also, LPA Garcia informed director to provide a copy of this licensing report dated 12/18/24 that documents any Type A citation(s) 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 form the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224) or other written statement must be kept in the child's file for verification.

An exit interview conducted with Director, Jennifer Patterson. Notice of Site Visit was provided and must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 12/18/2024 12:47 PM - It Cannot Be Edited


Created By: Sarah Garcia On 12/18/2024 at 12:16 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: 304270897

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/08/2025
Section Cited
CCR
101212(d)(C)(1)

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101212(d)(1)(C) Reporting Requirements: Upon the occurrence, ... (d)(1) below, a report shall be made to ... next working day and during its normal business hours. Any unusual incident or child absence...
This requirement was not met as evidenced by:
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Director agreed to watch a video on reporting requirements. Director agreed to sign declarations stating what they have learned and send to LPA email sarah.garcia@dss.ca.gov by 5pm on 01/08/2025.
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Based on interviews and record review, facility did not report incident to the Department in a timely manner. This is a potential risk to the health and safety to children in care.
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Child Care Reporting Requirements- California Child Care Licensing- ccld.childcarevideos.org.



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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:Patricia Magana
LICENSING EVALUATOR NAME:Sarah Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 12/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2024


LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 12/18/2024 12:47 PM - It Cannot Be Edited


Created By: Sarah Garcia On 12/18/2024 at 12:16 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: 304270897

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/19/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision....
(1) No child(ren) shall be left without the supervision of a teacher at any time..."
This requirement was not met as evidenced by:
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Director agreed to conduct an all staff training and watch CDSS supervision video. Director agreed to submit training agenda, staff declarations stating what they have learned, and staff sign in sheet by 5pm on 12/19/24.
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Based on interviews, on 1/10/24 at approximately 1:30pm, Staff 4 (S4) left a group of children in school age room 2 unattended for approximately 2 minutes. This is an immediate risk to the health, safety, and personal rights to children in care.
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Supervising Children in Child Care Centers- California Child Care Licensing- https://ccld.childcarevideos.org/
Type A
12/19/2024
Section Cited
CCR101223(a)(3)

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101223(a)(3) Personal Rights. To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation,……including but not limited to: interference with functions of daily living including eating, sleeping or toileting…
This requirement is not met as evidenced by:
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Director informed LPA that S4 was terminated. Director agreed to conduct an all staff training and watch CDSS personal rights video. Director agreed to submit training agenda, staff declarations stating what they have learned, and staff sign in sheet by by 5pm on 12/19/24.
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Based on interviews, Staff 1 (S1) and Staff 2 (S2) disclosed that on 1/10/24, Staff 4 (S4) yelled at daycare children in care.
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Children’s Personal Rights in Child Care- California Child Care Licensing- https://ccld.childcarevideos.org/
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:Sarah Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 12/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2024


LIC809 (FAS) - (06/04)
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