<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364818108
Report Date: 12/06/2023
Date Signed: 12/06/2023 05:07:13 PM

Document Has Been Signed on 12/06/2023 05:07 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364818108
ADMINISTRATOR:EMILY CALHOUNFACILITY TYPE:
830
ADDRESS:33788 YUCAIPA BLVD.TELEPHONE:
9097974713
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY: 24TOTAL ENROLLED CHILDREN: 27CENSUS: 16DATE:
12/06/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:27 PM
MET WITH:Alisa Holtegaard, Interim Director TIME COMPLETED:
05:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On this date and time, Licensing Program Analysts (LPAs) Taityana Benson and Laura Mejorado arrived at the facility to conclude the investigation on separate manner, a previous inspection was conducted on September 05, 2023. LPA met with Alisa Holtegaard, Interim Director and conducted a tour of the facility inside and outside.

During the previous visit, on September 05, 2023, at 9:35 a.m., LPA observed an overall total of 26 infants amongst Infant A, Infant B, and Toddlers 1 classroom. The Director confirmed all infants present are enrolled. The Director confirmed in Infant A, Infant B and Toddlers 1 classroom ages are under 2 years old. LPA asked the Director why 26 infants are in care. Director stated due to the holiday the parents of part-time enrollees were thrown off their schedule. Director stated some infants were not scheduled to attend that day, but the center allowed them to be dropped off and will speak to the parents about upholding their enrollment agreement. LPA informed the director that at no time shall the facility provide care to more than 24 infants.

A notice of site visit was given and must remain posted on, or 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.

SEE LIC 9099-D for Type A deficiency cited

An exit interview was conducted and report was reviewed with Alisa Holtegaard, Interim Director.

LPA Taityana Benson informed Alisa Holtegaard, Interim Director that this report dated 12/06/23 document(s) 1 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 12/06/2023 05:07 PM - It Cannot Be Edited


Created By: Taityana Benson On 12/06/2023 at 04:11 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: 364818108

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/07/2023
Section Cited
CCR
101161(a)

1
2
3
4
5
6
7
101161(a) Limitations on Capacity, a licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
This requirement is not met as evidence by:

1
2
3
4
5
6
7
Director agrees to write a statement of understanding regarding limitations on capacity, develop a plan to prevent exceeding capacity limitations and provide a current LIC500 to LPA by COB 12/07/2023 via email.
8
9
10
11
12
13
14
Based on LPA observation, the Licensee did not comply with the section cited above on 09/05/2023, LPA observed a total of 26 infants in the infant classrooms and the maximum capacity is 24 infants, which poses an immediate Health and Safety, Personal Rights risks to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Taityana Benson
LICENSING EVALUATOR SIGNATURE:
DATE: 12/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/06/2023


LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364818108
VISIT DATE: 12/06/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
A notice of site visit was given and must remain posted on, or 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.

LPA Taityana Benson informed Alisa Holtegaard, Interim Director to provide a copy of this licensing report dated 12/06/23 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled chindren for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3