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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364804463
Report Date: 03/03/2022
Date Signed: 03/03/2022 12:27:13 PM

Document Has Been Signed on 03/03/2022 12:27 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:
364804463
ADMINISTRATOR:TAHAN, JULIANAFACILITY TYPE:
830
ADDRESS:1609 CALVARY CIRCLETELEPHONE:
(909) 798-2987
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY: 20TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
03/03/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Director Juliana TahanTIME COMPLETED:
12:40 PM
NARRATIVE
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On 03/03/2022, Licensing Program Analyst (LPA) Destinee Hogue arrived at the facility to conduct an inspection for a separate purpose. During this inspection, LPA toured the facility, took census, verified staff's criminal record clearances and association to facility. LPA Hogue discussed the following Director Juliana Tahan:

Throughout a complaint investigation, LPA Hogue reviewed facility records specifically Infant's Needs and Service plan, and based on records reviewed, there were three infants enrolled and/or present at the facility, who's Infant's Needs and Service plan were not up to date.

According to Title 22 Regulations, 101419.3(a)(1) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.
(1) The director, the assistant director or a teacher shall update the plan with the assistance of the infant's authorized representative.

Based on the above information, a Type B deficiency is being cited due to the Director, Assistant Director, and/or Teacher failing to update Child #1-Child #3 Infant's Needs and Services Plan. See LIC809-D for cited deficiency.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Director Juliana Tahan.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Destinee Hogue
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2022
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 03/03/2022 12:27 PM - It Cannot Be Edited


Created By: Destinee Hogue On 03/03/2022 at 10:11 AM
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: 364804463

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/03/2022
Section Cited
CCR
101419.3(a)

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Modifications to Infant Needs and Services Plan. (a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy.


This requirement is not met as evidenced by:
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During this inspection, Director Julian Tahan provided an updated Infants Needs and Services Plan for Child #2 and Child #3. Child #1 disenrolled from the facility in February 2022.
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Based on records reviewed througout a complaint investigation, the Director, Assistant Director, and/or Teacher failed to update the Infant Needs and Services Plan for Child #1-Child #3. This poses a potential health, safety, and personal rights risk to children in care.
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THIS BOX IS INTENTIONALLY LEFT BLANK

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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:Destinee Hogue
LICENSING EVALUATOR SIGNATURE:
DATE: 03/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/03/2022


LIC809 (FAS) - (06/04)
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