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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364809075
Report Date: 11/22/2023
Date Signed: 11/22/2023 02:50:02 PM

Document Has Been Signed on 11/22/2023 02:50 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: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 37DATE:
11/22/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Assistant Director Melissa SpeakmanTIME COMPLETED:
03:10 PM
NARRATIVE
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On 11/22/23 at 11:10 a.m., Licensing Program Analyst (LPA) Blanca Ruiz arrived at the facility to conduct a Case Management inspection for the purpose of addressing a separate matter discovered during a complaint investigation. LPA met with Assistant Director, Melissa Speakman. During today’s inspection, the facility was toured, and census was taken. LPA verified teacher to child ratio and observed care and supervision to be in compliance with Title 22 regulation on 11/22/23. The facility serves children ages 2 to 6 years old in Classrooms N.3, N.6 and N.10. This is a combination center, and other programs are infant and school age.
During inspection conducted on 09/21/23, LPA observed the preschool playground under renovation adjacent to the infant playground area. Director explained that construction began 09/07/23 on the center’s preschool playground. The existing play structure on the preschool play yard was removed and replaced with a new one; wood chips ground cover was removed and replaced with foam/turf. It was noted that playgrounds renovation at the center will continue until all play yards areas are completed. Per Director, administration staff verbally informed parents of the changes and new ways to enter classrooms as the flow of traffic had to be shifted due to the construction project in progress. Facility added signage on the door for parents and visitors until 09/21/2023 to update them of construction renovation progress. Per Title 22, section, 101237(a) licensee is required to inform Community Care Licensing (CCL), prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).

Please see LIC 809D for cited deficiency of the California Code of Regulations, Title 22.


An exit interview conducted and report was review with Assistant Director, Melissa Speakman. A copy of this report was provided to the director on this date and must be made available to the public upon request for the next 3 years. A notice of site visit was given and must remain posted immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2023
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 11/22/2023 02:50 PM - It Cannot Be Edited


Created By: Blanca Ruiz-Silva On 11/22/2023 at 09:25 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: 364809075

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/30/2023
Section Cited
CCR
101237(a)

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a) Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).This requirement was not met as evidenced by:
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During today's visit, preschool playground was inspected and found to be in substantial compliance. Director agrees to submit updated facility sketch to reflect all new playground changes and statement of estimate renovation completion. Update progress via LIC 624 to CCL.
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Per Director, Alisa Holtegarrd, center playground renovation/construction began 09/07/23; this will continue throughout the other playgrounds at the center one at a time until all play areas are completed. CCL was not informed of construction changes being done. "This poses an potential Health and Safety risk for the children in care".
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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: 11/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/22/2023


LIC809 (FAS) - (06/04)
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