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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400329
Report Date: 07/21/2022
Date Signed: 07/21/2022 05:59:33 PM

Document Has Been Signed on 07/21/2022 05:59 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
434400329
ADMINISTRATOR:MAARIT MCCROSSENFACILITY TYPE:
830
ADDRESS:605 EAST DUNNE AVENUETELEPHONE:
(408) 778-1237
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 20DATE:
07/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:57 AM
MET WITH:Marissa MunozTIME COMPLETED:
04:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Required- 1 Year inspection. LPA met with Assistant Director Marissa Munoz and explained the reason for the inspection. Present during today's inspection were 20 children and at least 8 staff.

There is a board to post required postings, such as license, parents' right's, and car seat law. There is a working phone at the facility. LPA reviewed sign in/sign out sheet. LPA reminded Assistant Director that all children need to be signed in and out.

LPA toured in the inside and outside of the facility with Assistant Director. The classroom that is adjacent to the front desk area had a cabinet with sliding doors. The door has a plastic latch, but was not catching to prevent items inside to be inaccessible to children. LPA observed that there were two bottles of cleaning supplies inside, which is accessible to the children. Staff removed the two bottles of cleaning supplies and placed in the locked cabinet under the changing table. All other disinfectant, cleaning supplies, and other items that are dangerous to children were inaccessible to children. Toys and equipment were observed to be age appropriate and in good condition. There were no baby walkers observed during today's inspection. Changing tables were within arms reach of a sink and had the required sides and padding. Trash can for waste have a tight-fitted lid. The last fire/disaster drill was conducted on 05/16/2022. Assistant Director stated that there are no weapons, such as firearms, stored in at the facility.

The outdoor activity space is fenced. Shaded rest area is provided through building overhang and trees. Area around play structure has resilient material. There were no bodies of water observed during today's inspection.

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SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434400329
VISIT DATE: 07/21/2022
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------------------------continuation of 809 dated 07/21/2022 page 1-----------------------------

LPA reviewed sleep log for the two infant rooms. Assistant Director stated that they do not do sleep log for the one years old. Facility started to do sleep logs during today's inspection. LPA observed that sleep logs has the name of the child, the date, time check, staff's initial, and any comments. LPA provided Assistant Director with PIN 20-24-CCP. Facility included the information for the LIC 9227: Individual Infant Sleeping Plan on their Needs and Service Plan. LPA observed that the Needs and Service Plan does not include Section C, where parents can put the date they observed their child roll from front to back and vice versa or Section D, where staff put the date that they observed the roll from front to back and vice versa. Facility stated that they will start to have parents fill out the LIC 9227. A copy of the form was provided during today's inspection. LPA discussed the safe sleep regulations with Assistant Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Assistant Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

There is fridge in the two infant rooms to store food and bottles. LPA observed that all bottles had the child's name and the date on it. Food for the one years old are prepared and provided by the facility. Drinking water is provided through individual water bottles.

Facility does not provide Incidental Medical Services (IMS) at this time. Plan for Providing IMS is on file. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

------------------------continues on 809 dated 07/21/2022 page 3---------------------------------
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
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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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434400329
VISIT DATE: 07/21/2022
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-----------------------continuation of 809 dated 07/21/2022 page 2-------------------------------

Assistant Director stated that she will email copy of facility roster to Licensing by 5PM on 07/22/2022. 10 children's files were reviewed during today's inspection. The records reviewed include but not limited to needs and service plan and immunization records. C-1's needs and service plan was last updated on 01/2022. C-2's Needs and Service Plan was last updated on 02/07/2022. LPA reminded Assistant Director that needs and service plan needs to be updated on quarterly.

11 staff files were reviewed during today's inspection. The records reviewed include but not limited to transcript and mandated reporter training. S-1 and S-2 last completed the Mandated Reporter training on 03/14/2020. S-3 did not have Mandated Reporter training on file. Assistant Director stated that staff are in the middle of completing Mandated Reporter training. LPA also discussed with Assistant Director about the conversation of quarter units to semester units.

All staff present have cleared fingerprints. Assistant Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

As a result of this inspection, three Type B deficiencies and two technical violation were issued. Exit interview conducted and report was reviewed with Assistant Director Marissa Munoz. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
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Document Has Been Signed on 07/21/2022 05:59 PM - It Cannot Be Edited


Created By: Samantha Yip On 07/21/2022 at 03:12 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434400329

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. Facility had a cabinet with a sliding door. Cabinet has a plastic latch to catch the door; however, it did not catch. Cabinet had two bottles of cleaning supplies, which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/21/2022
Plan of Correction
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Deficiency was corrected during today's inspection. Staff moved the two bottles of cleaning supplies to the locked cabinet below the changing table.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 3 out of 10 persons, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/07/2022
Plan of Correction
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By POC, facility will have staff complete mandated reporter training and send certificate to Licensing.
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:Joel Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2022


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Document Has Been Signed on 07/21/2022 05:59 PM - It Cannot Be Edited


Created By: Samantha Yip On 07/21/2022 at 03:20 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434400329

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101429(a)(2)(B)
Staff shall physically check on sleeping infant(s) every 15 minutes

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record reviews, the licensee did not comply with the section cited above. Staff in the one year classroom is not checking infants every 15 minutes and documenting it, which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/21/2022
Plan of Correction
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Deficiency was corrected during inspection. Staff started to document the time children are checked.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Joel Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2022


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