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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334809083
Report Date: 01/24/2024
Date Signed: 01/24/2024 02:17:09 PM

Document Has Been Signed on 01/24/2024 02:17 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:
334809083
ADMINISTRATOR:TARA MARTINEZFACILITY TYPE:
830
ADDRESS:610 E. NUEVO ROADTELEPHONE:
(951) 943-6476
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 15DATE:
01/24/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Tara MartinezTIME COMPLETED:
12:30 PM
NARRATIVE
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On January 24, 2024 at 11:10 am Licensing Program Analyst (LPA) Jessica Rubio conducted a case management inspection to follow-up on the compliance plan. LPA met with Director Tara Martinez. LPA toured the facility and took a census of the children in care. LPA observed one class with seven children and two teachers providing care and supervision and another class with eight children and one teacher and one teacher's assistant providing care and supervision. In addition, LPA reviewed all staff files to ensure the staff met minimum qualifications for the positions in which they were hired. All staff meet the minimum qualifications, however one staff (Ref#3) was missing documentation of the mandated reporter training. A citation will be issued.

The facility is being cited for Health & Safety Code. See LIC 809D for cited deficiency.

Exit interview conducted and report was reviewed with and provided to Assistant Director Andrea Cumpen. Appeal rights were also provided. A notice of site visit was given and must remain posted for 30 days in location visible to all parents entering the facility. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2024
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 01/24/2024 02:17 PM - It Cannot Be Edited


Created By: Jessica M Rubio On 01/24/2024 at 01:55 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: 334809083

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2024
Section Cited
HSC
1596.8662(b)(1)

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On or before March 30, 2018, a person who,is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training...and shall complete renewal mandated reporter training every two years...This requirement was not met as evidenced by….
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Director stated training will be completed and certificate provided to LPA or once found the certificate will be provided to LPA.
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Based on record review, staff (Ref#3) did not have documentation of mandated reporter training on file.
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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:Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:
DATE: 01/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2024


LIC809 (FAS) - (06/04)
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