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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364809075
Report Date: 08/11/2021
Date Signed: 08/11/2021 03:34:33 PM

Document Has Been Signed on 08/11/2021 03:34 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:
364809075
ADMINISTRATOR:ALISA HOLTEGARRDFACILITY TYPE:
850
ADDRESS:960 W. BLOOMINGTONTELEPHONE:
(909) 877-3399
CITY:BLOOMINGTONSTATE: CAZIP CODE:
92316
CAPACITY: 104TOTAL ENROLLED CHILDREN: 0CENSUS: 22DATE:
08/11/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Alisa HoltegarrdTIME COMPLETED:
03:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Kim Leung conducted a complaint investigation at the facility this date on 8/11/2021. During the investigation process, LPA obtained information that there were in multiple mornings in or about June 2021, due to insufficient teaching staff scheduled to work in the morning, some children were made staying with the front office staff in the front office behind the counter for extensive period of time waiting for additional staff to arrive to work before they were taken to their assigned activity rooms. LPA obtained information that some children were in the staff room while waiting to be taken to their assigned activity room or the playground joining their class. LPA also obtained information that some children were made staying in the director's office with the previous director due to insufficient teaching staff to maintain proper ratio in each class. LPA obtained information that the children were watching movie using the office computer while staying in the director's office. The front office areas and the director's office are not licensed as children's activity areas and the areas are not furnished with age-appropriate furniture and equipment. The front office area, director's office and staff room are not considered age-appropriate for child care activities. See LIC809D for deficiency cited per California Code of Regulations Title 22, Division 12 for violation of the children's personal rights.

An exit interview was conducted with Ms. Holtegarrd. Appeal rights discussed, Notice of Site Visit was issued and must be posted for 30 days. A copy of this report was provided to the facility. Ms. Holtegarrd was provided with a copy of the appeal rights (LIC9058 12/2015) and her signature on this report acknowledges receipt of those rights. A COPY OF ALL TYPE A DEFICIENCIES (LIC809D) CITED DURING THIS INSPECTION MUST BE POSTED FOR 30 DAYS. A COPY OF ALL TYPE A DEFICIENCIES CITED DURING THIS INSPECTION MUST ALSO BE IMMEDIATELY (within 24 hours of the 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.

This report must be made available at the facility for 3 years for public review upon request.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2021
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 08/11/2021 03:34 PM - It Cannot Be Edited


Created By: Kim Leung On 08/11/2021 at 02:03 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: 364809075

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/11/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/12/2021
Section Cited
CCR
101223(a)(2)

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Personal Rights. The licensee shall ensure that each child is accorded...accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced by: In or about June 2021, due to
insufficient teaching staff to maintain proper
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Current facility director Alisa Holtegarrd agreed to schedule sufficient teaching staff to main proper teacher-child ratio at all times. Director agreed not to use the front office areas, staff room and director's office for child care activities. Written statement of understanding with all staff signatures will be submitted to Community Care Licensing
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teacher-child ratio in the class, some children were made to stay in the front office, staff room and the director's office with office staff for extensive period of time. That was a violation of the children's personal rights as those areas are not licensed as part of the child care activity areas and not age-appropriate for the children.
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by 8/12/2021.

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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:Kim Leung
LICENSING EVALUATOR SIGNATURE:
DATE: 08/11/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2021


LIC809 (FAS) - (06/04)
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