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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364804213
Report Date: 07/28/2022
Date Signed: 08/09/2022 04:46:08 PM

Document Has Been Signed on 08/09/2022 04:46 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364804213
ADMINISTRATOR:MELINDA GASKINFACILITY TYPE:
830
ADDRESS:2140 S. EUCLIDTELEPHONE:
(909) 983-5007
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY: 28TOTAL ENROLLED CHILDREN: 7CENSUS: 6DATE:
07/28/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Jennifer DelunaTIME COMPLETED:
04:00 PM
NARRATIVE
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On 07/28/2022 at 2:15pm, Licensing Program Analysts (LPAs) Aman Sharma and Rachel Zeron arrived at the facility to deliver findings for a complaint received on 04/19/2022. LPAs met with acting assistant director, Jennifer Deluna and were granted access into the facility. LPAs toured the facility and took a census.

During the 04/27/2022 investigation, a child’s file was requested but facility staff were unable to provide the file to LPAs, stating the child’s file was misplaced. Based on the facility being unable to provide the child’s file to licensing upon request, the facility was not in compliance with Title 22 Regulations concerning Child’s Records (section 101221).

SEE LIC809D for cited deficiency...............

Exit interview conducted with director, report, appeal rights and Notice of Site visit provided to the director. Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Sharma
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2022
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 08/09/2022 04:46 PM - It Cannot Be Edited


Created By: Aman Sharma On 07/28/2022 at 02:45 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364804213

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/04/2022
Section Cited
CCR
101221(a)

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Child's Records: A separate, complete and current record for each child is maintained in the child care center.
This requirement was not met as evidenced by:
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Acting assistant director agrees to have both, director or any lead teachers left in charge to have access to come up with a plan of a centralized location of children's files. In the plan, assistnat director agreed for center to come up with a sign in/out log to check files and send plan to licensing.
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Due to facility staff being unable to provide a child's file to licensing. All children's records and files must be available to the Department to inspect during normal business hours. This poses a potential risk to the health and safety of children in care. Plan of correction discussed with acting assistant director.
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In addition, acting director and assistant director agree to also come up with a re-training for staff on what to include in children's files. This must also be sent to licensing by POC due date.

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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:Kimberly Williams
LICENSING EVALUATOR NAME:Aman Sharma
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2022


LIC809 (FAS) - (06/04)
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