<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334809081
Report Date: 12/17/2021
Date Signed: 12/17/2021 03:23:06 PM

Document Has Been Signed on 12/17/2021 03:23 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334809081
ADMINISTRATOR:TARA MARTINEZFACILITY TYPE:
850
ADDRESS:610 E. NUEVO ROADTELEPHONE:
(951) 943-6476
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: 14DATE:
12/17/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Lanetta Woods, Assistant DirectorTIME COMPLETED:
03:35 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
On 12/17/2021, Licensing Program Analyst (LPA) Nasha King was at the facility for the purpose of concluding a complaint investigation. While delivering the findings for Complaint Control #10-CC-20211021141624, LPA observed that Staff #2, Staff #3, and Staff #4 did not have Immunization Records on file while conducting a review of staff files. LPA confirmed that the three (3) staff members are not new and have been employed with the facility for quite some time.

Additionally, records review revealed that two of the four staff members files did not have proof of teacher qualifications. There was no transcripts or a sufficient Evaluation of Teacher Qualifications on file to verify if Staff #1 and Staff #2 were fully qualified teachers.

See LIC809D for deficiencies cited. An exit interview was conducted, Appeal Rights were discussed, and a copy of this report was provided to Lanetta Woods, Assistant Director.

A copy of this report must be made available to the public, at the facility site, for 3 years.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Nasha King
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2021
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
Document Has Been Signed on 12/17/2021 03:23 PM - It Cannot Be Edited


Created By: Nasha King On 12/17/2021 at 12:01 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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334809081

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/17/2022
Section Cited
HSC
1597.622(a)(1)

1
2
3
4
5
6
7
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
The Assistant Director, Ms. Woods agreed to have the three employees who are lacking thier Immunizations Records submit proof of vaccinations on or before the POC due date.
8
9
10
11
12
13
14
Based on record reviews, the Licensee did not comply with the section cited above. During records review, LPA King observed that S2, S3, and S4 did not have proof of Immunizations Records on file, which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
Type B
01/03/2022
Section Cited
CCR101216.1(c)(1)

1
2
3
4
5
6
7
101216.1 Teacher Qualifications and Duties (c) To be a fully qualified teacher, a teacher shall have one of the following:
(1) Twelve post-secondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
The Assistant Director, Ms. Woods agreed to have the two staff members submit proof of transcripts/certificates to show indication of being a fully qualified teacher on or before the POC date.
8
9
10
11
12
13
14
Based on record reviews, the Licensee did not comply with the section cited above. During records review, LPA King observed that two of the four staff members files did not have proof of teacher qualifications. There was no transcripts or a sufficient Evaluation of Teacher Qualifications on file to verify if Staff #1 and Staff #2 were fully qualified teachers, which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
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:Carlos Martinez
LICENSING EVALUATOR NAME:Nasha King
LICENSING EVALUATOR SIGNATURE:
DATE: 12/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/17/2021


LIC809 (FAS) - (06/04)
Page: 2 of 2