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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364807780
Report Date: 09/17/2024
Date Signed: 09/23/2024 10:19:04 AM

Document Has Been Signed on 09/23/2024 10:19 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364807780
ADMINISTRATOR/
DIRECTOR:		AMY HALITFACILITY TYPE:
850
ADDRESS:15928 LOS SERRANOS COUNTRY CLBTELEPHONE:
(909) 606-7744
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY: 98TOTAL ENROLLED CHILDREN: 49CENSUS: 42DATE:
09/17/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Amy Halit and Crystal ReynoldsTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Rachel Zeron conducted an unannounced case management visit at the facility for the purpose of concluding an investigation pertaining to the facility's submission of an Unusual Incident Report (UIR) received by Licensing on 07/03/2024, the UIR outlined an incident that occurred on 06/27/2024 pertaining to children left unattended in the classroom . LPA was granted entry to the facility and met with facility Director, Amy Halit and Crystal Reynolds, Director for Chino Hills KinderCare, assisting today.

According to the UIR, on Thursday, 06/27/2024 at approximately 10:39 am during morning recess, two children were found by Staff 3 (S3) in the classroom unattended. S3 indicated that the children were climbing on some toys by the window, while she was standing close by for approximately 5 minutes but did not realize that the staff was not in the classroom. Once S3 realized that the children were alone, S3 entered the classroom and escorted the children out to the playground where S3 met with Staff 1 (S1) and Staff 2 (S2) and handed over the children. S1 and S2 did not know that the children were in the classroom. Staff stated that a child was picked up at approximately 10:33 am by their parent and the children could have followed that parent into the classroom without them knowing. Responsible Parties were informed by the director.

Based on interviews and evidence collected, its has been confirmed that 2 children were left unattended in the classroom. The Facility was found to be in violation of the following Title 22 Regulation:

Responsibility for Providing Care and Supervision: 101229
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

See LIC809D for Type A deficiency Cited during this inspection.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364807780
VISIT DATE: 09/17/2024
NARRATIVE
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Exit interview conducted and report was reviewed with the Facility Director, Amy Halit and Crystal Reynolds.
A Civil penalty was issued in the amount of $500 for the violation cited.

A civil penalty has been assessed during this inspection, payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. You will receive an invoice in the mail. Do not send money until you receive your invoice. Do not send cash.


LPA issued a Notice of Site Visit and verified it was posted in a prominent location at the facility. Director understands that the Notice of Site Visit must remain posted for the next 30 days along with a copy of all Type A deficiencies cited during this inspection. A copy of all Type A deficiencies cited during this inspection must also be immediately (within 24 hours of child’s next day in care) given to the parents of all children enrolled in the child care facility and any children enrolled into the child care facility over the next 12 months (at the time of enrollment). Licensees are required to have all parents sign and date the Acknowledgement of Receipt of Licensing Reports (LIC9224) and maintain a copy in each child’s file. A copy of this report (LIC809), Acknowledgement of Receipt of Licensing Reports (LIC9224) and Appeal Rights (LIC9058) were provided during this inspection.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/23/2024 10:19 AM - It Cannot Be Edited


Created By: Rachel Zeron On 09/17/2024 at 02:07 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: 364807780

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/18/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1).... Supervision shall include visual observation.
This requirement was not met as evidenced by:
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Facility Director understands the importance of supervision at all times of the childten in care. Facility self reported the incident. Facility director will conduct staff training on 09/18/2024 regarding topic of Supervision.
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Based on interviews conducted and documentation obtained, 2 children were found in the classroom unattended.
This is an immediate risk to the health and safety of children in care.
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 Documentation of this training and staff attendance will be sent to LPA by POC date.

A civil penalty was issued in the amount of $500 for the violation cited.

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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:Aaron Ross
LICENSING EVALUATOR NAME:Rachel Zeron
LICENSING EVALUATOR SIGNATURE:
DATE: 09/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/17/2024


LIC809 (FAS) - (06/04)
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