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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334809083
Report Date: 07/19/2024
Date Signed: 07/30/2024 01:57:10 PM

Document Has Been Signed on 07/30/2024 01:57 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/
DIRECTOR:		TARA MARTINEZFACILITY TYPE:
830
ADDRESS:610 E. NUEVO ROADTELEPHONE:
(951) 943-6476
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 5DATE:
07/19/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:22 AM
MET WITH:Tara MartinezTIME VISIT/
INSPECTION COMPLETED:
08:45 AM
NARRATIVE
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On July 19, 2024, at 7:39 AM, Licensing Program Analyst’s (LPAs) Anastasia Flores and Shauna De Jesus, arrived for the purpose of opening an investigation on the preschool license. LPA’s informed Assistant Director the purpose of the visit was to open an investigation in regard to the above stated allegation.

During this visit, LPAs toured the facility and took census and gathered evidence. The census in one of the infant rooms was one to five infants at 7:55 AM, evidence was gathered. Due to the ratio of five children to one staff, the facility is being cited for Title 22, regulation 101416.6 (b) Staff-infant ratio. A Civil Penalty of $250.00 was assessed for this violation of Title 22 Regulations, repeat violations. See LIC 421BG.

A copy of this report,809D, and LIC421BG appeal rights were reviewed and handed to Director, Tara Martinez.
A notice of site visit was give and must remain posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE: DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/19/2024
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 07/30/2024 01:57 PM - It Cannot Be Edited


Created By: Anastasia Flores On 07/19/2024 at 04:30 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: 07/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
07/26/2024
Section Cited
CCR
101416.5(b)

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101416.5(b)Staff-Infant Ratio, There shall be a ratio of one teacher for every four infants in attendance. this was not met as evidenced by....
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Director will move a staff that comes in from 8am to 7:45AM to avoid the classroom being out of ratio at any one time. Director will email a statement via email to LPA Flores stating the changes have been made and the effective date.
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Based on LPA's observation and evidence gathered, there were five infants to one staff during inspection at 7:55AM to 7:58AM. This poses a potential health safety and personal rights 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: 07/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2024


LIC809 (FAS) - (06/04)
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