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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215587
Report Date: 09/06/2023
Date Signed: 09/06/2023 01:43:17 PM

Document Has Been Signed on 09/06/2023 01:43 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:KINDERCARE LEARNING CENTER WLVFACILITY NUMBER:
566215587
ADMINISTRATOR:SARAH HUTSONFACILITY TYPE:
830
ADDRESS:917 HAMPSHIRE ROADTELEPHONE:
(805) 494-5152
CITY:WESTLAKE VILLAGESTATE: CAZIP CODE:
91361
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 28DATE:
09/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Sarah HutsonTIME COMPLETED:
11:15 AM
NARRATIVE
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On September 6, 2023 Licensing Program Analyst (LPA) Susana Martinez conducted an unannounced Required 1-year inspection. LPA met with site director Sarah Hutson and advised her of the purpose for the inspection. Together with the director LPA toured the facility inside and outside. At the time of inspection there were 28 infants in the care of 7 adults. No bodies of water were observed at the time of inspection. Last fire/disaster drill was observed to be conducted on 6/9/23.

The facility operates M-F from 7 AM- 6 PM and uses an electronic sign-in/sign-out app called Care Connect. The center uses a third party food service provider to provide lunches for children in care, LPA observed the month's menu posted throughout the facility. Director states AM and PM snacks are made on site. The infant program uses three rooms for care. All rooms were observed to be free of hazards/toxic items. The younger infants use rooms 7 and 8. LPA observed sufficient cribs available for children. LPA observed storage of formula/breast milk being kept in a working fridge. LPA observed six bottles to be missing dates and one infant bottle to be completely missing child's name and date. LPA reminded director to label all bottles with children's names and dates.

LPA asked director for the 15-minute check logs. Director states that the teachers log it on the KinderCare app, LPA asked to see the app. LPA observed that teachers are logging the times the infants fall asleep, but not the 15-minute checks. Director checked with teachers to verify if the 15-minute checks are being logged on paper. At 10:54 AM, director confirmed with LPA that teachers are not logging the 15-minute checks. LPA provided director a 15-minute check log template to start using immediately.

The outdoor playground is shaded and has an ample amount of space for children to play. LPA observed the playground has age-appropriate toys and structures available for children to use.
A sampling of children and staff records were reviewed. LPA observed 5 out of 5 children's files to be complete and current. Currently the facility does not have children that require Incidental Medical services (IMS). CPR current with an expiration date of 7/2024. LPA verified SB792 Child Care Adult Immunization and Tuberculosis requirements.

Continued on 809-C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/06/2023
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 09/06/2023 01:43 PM - It Cannot Be Edited


Created By: Susana Martinez On 09/06/2023 at 12:08 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: KINDERCARE LEARNING CENTER WLV
FACILITY NUMBER: 566215587

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/06/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101429(a)(2)(B)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in 28 out of 28 infant's safe sleep logs which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 09/06/2023
Plan of Correction
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Director agreed to check and document 15-minute safe sleep. LPA provided director with 15-minute check template. LPA observed director making copies and providing them to teachers immediatley.
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:George Mingle
LICENSING EVALUATOR NAME:Susana Martinez
LICENSING EVALUATOR SIGNATURE:
DATE: 09/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/06/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/06/2023 01:43 PM - It Cannot Be Edited


Created By: Susana Martinez On 09/06/2023 at 12:08 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: KINDERCARE LEARNING CENTER WLV
FACILITY NUMBER: 566215587

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/06/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101427(j)
Infant Care Food Service
(j) Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above in 7 out of 28 infant bottles were unlabeled which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/21/2023
Plan of Correction
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Director agreed to label each infant bottle with the child's name and date. Director is to submit a written statement on how the center will prevent this dificinecy from occuring again. Written statement shall be submitted to the Department no later than 09/21/2023.
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:George Mingle
LICENSING EVALUATOR NAME:Susana Martinez
LICENSING EVALUATOR SIGNATURE:
DATE: 09/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/06/2023


LIC809 (FAS) - (06/04)
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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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KINDERCARE LEARNING CENTER WLV
FACILITY NUMBER: 566215587
VISIT DATE: 09/06/2023
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

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.



LPA Martienz informed Director Sarah Hutson that this report dated 9/6/2023 documents One Type A citation which shall be posted for 30 consecutive days as there is/are immediate risks to the health, safety, or personal rights of children in care.

Also, LPA Martinez informed the Director Sarah Hutson to provide a copy of this licensing report dated 9/6/2023 that documents any Type A citations 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 parents/guardians 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.

Two deficiencies were cited today. One Type A and one Type B found on the attached 809-D pages.

Care and Supervision - Type A: 101429(a)(2)(B) for missing 15-minute safe sleep check logs for all infants in care.


Food Service - Type B: 101427(j) for having unlabeled infant bottles.

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.

Exit interview conducted, appeal rights were given, and report was reviewed with director Sarah Hutson.

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
LIC809 (FAS) - (06/04)
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