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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364807781
Report Date: 03/14/2023
Date Signed: 03/14/2023 03:37:47 PM

Document Has Been Signed on 03/14/2023 03:37 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:
364807781
ADMINISTRATOR:DIEHL, JENNIFERFACILITY TYPE:
840
ADDRESS:15928 LOS SERRANOS COUNTRY CLBTELEPHONE:
(909) 606-7744
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY: 52TOTAL ENROLLED CHILDREN: 52CENSUS: 25DATE:
03/14/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Jennifer DiehlTIME COMPLETED:
03:50 PM
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Licensing Program Analysts(LPAs) Blanca Ruiz and Elyse Jones arrived at the facility to conduct a Case Management inspection for the purpose of addressing separate matters that were discovered during an inspection at the facility. During the inspection LPAs  conducted a tour of the facility and census were taken. According to Title 22,  facility is required to provide sufficient staff in order to meet all the children's needs and to provide a safe environment for all the children in care. 
Facility documentation written by staff, reports child(ren) has/have hitting and scratched other children and staff on multiple occasions. Information received throughout the investigation revealed that facility staff were aware of the situation and  that closer supervision was required to shadow the subject child(ren) to prevent the hitting incidents.  However, facility failed to rearrange staffing  and/ or to work a plan to meet the needs of all the children in the class and to protect the safety of children in care.

See LIC 809-D for deficiency cited

Exit interview conducted and report  was reviewed with Director, Jennifer Diehl. A Notice of Site Visit and Type A Deficiency was given and must remain posted on, or immediately adjacent to the interior of the main door for 30 days. Appeal Rights discussed and given to facility representative, along with a copy of this report and LIC 9224 was given to the licensee or facility representative. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2023
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 03/14/2023 03:37 PM - It Cannot Be Edited


Created By: Blanca Ruiz-Silva On 03/14/2023 at 03:00 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: 364807781

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/15/2023
Section Cited
CCR
101216(a)

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101216(a) Personnel Requirements
Child care center personnel shall be competent to provide the services necessary to meet the individual needs of children in care and shall at all times be employed in numbers sufficient to meet those needs. This requirement was not met as evidenced by:
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Director agrees to rearrange staffing to meet the needs of the children. Director agree to provide a new staffing plan by 03/15/23 to include staff schedule in the classroom to meet all children needs and class roster.
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There were at least 20 incidents documented in a since enrollment period involving the same child(ren) hitting other children. Facility failed to rearrange staffing to ensure sufficient teacher/teacher aide(s) were present to meet the needs of the children in the class to protect the safety of children in care "This is an immediate Health and Safety risk for the
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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:Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2023


LIC809 (FAS) - (06/04)
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