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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334804441
Report Date: 07/13/2023
Date Signed: 07/13/2023 10:02:38 AM

Document Has Been Signed on 07/13/2023 10:02 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334804441
ADMINISTRATOR:FLORES, BLANCAFACILITY TYPE:
850
ADDRESS:24369 SKYVIEW RIDGE DRIVETELEPHONE:
(951) 696-0825
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY: 84TOTAL ENROLLED CHILDREN: 82CENSUS: 42DATE:
07/13/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:32 AM
MET WITH:Director Blanca FloresTIME COMPLETED:
10:06 AM
NARRATIVE
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On 7/13/23, Licensing Program Analyst (LPA) Jeanette Sanchez, conducted a Case Management visit to address an issue separate from the complaint investigation (Complaint Control # 10-CC-20230622141702) conducted. During the course of the complaint Investigation, it was discovered that the facility failed to report an injury to Community Care Licensing (CCL). LPA Sanchez met with Director Blanca Flores.

O 6/22/23 at 8:20am, a child was injured in the classroom, which resulted in a parent picking up the child early in order to seek medical attention for the child. Child returned to the facility midday after being released by a doctor. Staff was aware of the medical visit.

On 6/27/23, LPA made an unannounced visit to the facility due to a complaint received by CCL. During the investigation, it was found that CCL was not notified within 24 hours of the incident nor was an Unusual Incident Report submitted to CCL as of the date of the visit. When asked for the reason, it was disclosed that the Director left to a field trip shortly after the incident. However, another interview disclosed that the Director was still present when the child was picked up. There was no additional explanation as to why CCL had yet to be notified.

See LIC809D for cited deficiencies

An exit interview was conducted, and this report was reviewed with Director Blanca Flores. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/13/2023
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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Document Has Been Signed on 07/13/2023 10:02 AM - It Cannot Be Edited


Created By: Jeanette Sanchez On 07/13/2023 at 09:22 AM
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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334804441

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/28/2023
Section Cited
CCR
101212(d)(1)(B)

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"(d) ...a report shall be made to the Department by... next working day and during its normal business hours. In addition, a written report...shall be submitted...within seven days following the occurrence of...Any injury to any child that requires medical treatment." This requirement was not met as evidenced by:
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Director will have a staff training on how to complete an Unusual Incident Report. Director will submit proof of training to LPA by 7/28/23.
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The department did not receive notification - verbal, written or otherwise - disclosing that a child had suffered an injury that resulted in medical attention. This poses a potential health, safety, or personal rights risk to the children in care.
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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:Deborah Mullen
LICENSING EVALUATOR NAME:Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/13/2023


LIC809 (FAS) - (06/04)
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