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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334809081
Report Date: 10/11/2023
Date Signed: 10/11/2023 01:54:52 PM

Document Has Been Signed on 10/11/2023 01:54 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
RIVERSIDE SOUTH EAST, 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: 74CENSUS: 54DATE:
10/11/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:01 PM
MET WITH:Andrea CumpenTIME COMPLETED:
12:30 PM
NARRATIVE
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On 10/11/2023, Licensing Program Analyst's (LPA's) Lorena Valenzuela and Cindy Hamilton conducted an unannounced case management visit to the facility. LPA met with Assistant Director Andrea Cumpen. The purpose of the case management visit is to discuss information received during a review of an incident that occurred at the facility.

Confidential interviews revealed Staff #1 (S1) is a teacher in a preschool room #1. Witness interviews revealed S1 will often take children from room #1 into preschool room #2 and will ask other staff to change the diaper off children who have had bowel movements. Interviews corroborated that Staff 1 has refused to change the diapers of children in care. Interviews and records revealed teacher/job duties include providing “care routines” including diapering, to meet the needs of the children in care.

Based on interviews and records review, the facility is cited for violation of Title 22, Section 101223 (a) (3), Personal Rights. See LIC809D for cited deficiency.

This is a repeat violation within the past 12 months of the same regulation Section 101223 (a) (3) Personal Rights, this will result in a civil penalty for $250.

An exit interview was conducted, appeal rights discussed, and a copy of this report, LIC 809d and LIC 421FC was provided to Assistant Director,Andrea Cumpen.

The Notice of Site Visit was provided, the facility representative was reminded this notice must be posted for 30 days.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2023
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 10/11/2023 01:54 PM - It Cannot Be Edited


Created By: Lorena Valenzuela On 10/11/2023 at 12:06 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: 10/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/27/2023
Section Cited
CCR
101223(a)(3)

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101223 (a) (3) Personal Rights. To be free from... unusual punishment... humiliation, intimidation, ridicule...
This requirement was not met as evidenced by:
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Assistant Director Andrea Cumpen agrees to submit documentation for Staff 1 regarding overview and training of duties needed to meet the diapering needs of children in care, by due date 10/27/2023.
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Based on interviews and records, Staff 1 did not ensure the personal rights of children in care due to not meeting the needs of children in care, in respect to performing the duties required to meet their toileting needs. 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:Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2023


LIC809 (FAS) - (06/04)
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