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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334809081
Report Date: 11/05/2024
Date Signed: 11/05/2024 01:10:37 PM

Document Has Been Signed on 11/05/2024 01:10 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/
DIRECTOR:		TARA MARTINEZFACILITY TYPE:
850
ADDRESS:610 E. NUEVO ROADTELEPHONE:
(951) 943-6476
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: 55DATE:
11/05/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:20 PM
MET WITH:Tara MartinezTIME VISIT/
INSPECTION COMPLETED:
12:42 PM
NARRATIVE
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On November 5, 2024, at 12:20 PM, Licensing Program Analyst’s (LPAs) Anastasia Flores, Brian Morris, and Licensing Program Manager (LPM) Pauline Beschorner, conducted a case management that resulted during an investigation on a complaint received in our office on 09/17/24. During the investigation, our office received information in regard to a child that may have run out of the facility, under the care of the Child Care Center (CCC) and that it was never reported to Community Care Licensing.

Four out of six interviews disclosed C1 ran out of the classroom and out of the facility on at least one or more occasion. Confidential records dated 4/26/24, disclosed that C1 ran out of the facility at 4:40PM, and the Director and Assistant director were notified. Three out of four confidential interview disclosed other parents were exiting through that gate after they had picked up their children and C1 had followed behind one of the parents. Interview with director denied allegation the parents have ever use the gate to leave the facility and that the alarm has been on the gate forever. One confidential interviewed disclosed the parents are not supposed to go through the gate across from the two-year-old classroom, but admitted there were a few times that the gate was open when the facility had workers there at the CCC. Three out of five confidential interviews disclosed the alarm on the gate was there but did not always work and the alarm was fixed a few months ago when C1 had run from the CCC. Interview with Director and denied allegation that C1 had ever ran out of the CCC.

Based on confidential interviews and confidential records reviewed, the allegation that Child#1 (C1) ran from CCC, was proven without a doubt. The facility is being cited for 101212(d)(1)(C ) Reporting requirements and 101229 (a)(1) Responsibility for providing care and supervision. See 809D for deficiencies.

A copy of this report, Confidential names list (LIC811) and appeal rights were reviewed and handed to Director, Tara Martinez.

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

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE: DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2024
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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Document Has Been Signed on 11/05/2024 01:10 PM - It Cannot Be Edited


Created By: Anastasia Flores On 11/05/2024 at 12:25 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: 11/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/19/2024
Section Cited
CCR
101229(a)

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101229 (a) Responsibility for providing care and supervision; The licensee shall provide care and supervision as
as necessary to meet the children’s needs. This regulation was not met as evidenced by…
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Director will notify the families/guardians of the gate that was utilized to be no longer used for exiting or entrance by 11/19/24.
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Based on confidential interviews and record review, Child 1 ran out of the classroom resulting in leaving the facility on
at least one or more occasion. This posed an immediate health, safety and personal rights risk to children in care.
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...
Type B
11/19/2024
Section Cited
CCR101212(d)(1)(C)

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101212(d)(1)(C ) Reporting requirements; Upon the occurrence, during the operation of the childcare center of any of the events specified in (d)(1); a report shall be made to the department by Telephone or fax within the departments next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the department within seven days following the occurrence of such event, any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
This regulation was not met as evidenced by…
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Director will provide a written statement that she will report unusual incident reports to our office in a timely manner from this day forward and submit to LPA Flores via email by 1/19/24.
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Based on confidential interviews and records reviewed, Child 1 exited the facility on at least one occasion, and our department nor the parents/guardians of child 1 were notified within a timely manner. This posed a potential health, safety, and personal rights risk to 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:Pauline Beschorner
LICENSING EVALUATOR NAME:Anastasia Flores
LICENSING EVALUATOR SIGNATURE:
DATE: 11/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/05/2024


LIC809 (FAS) - (06/04)
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