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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215587
Report Date: 09/06/2023
Date Signed: 09/06/2023 01:34:25 PM

Document Has Been Signed on 09/06/2023 01:34 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, 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:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:16 AM
MET WITH:Sarah HutsonTIME COMPLETED:
12:15 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 9/6/23, Licensing Program Analyst (LPA) Susana Martinez made an unannounced visit for the purpose of conducting a Case Management incident inspection. LPA met with director Sarah Hutson to discuss an incident that was self-reported to Community Care Licensing Division (CCLD) office by phone on 6/15/23. LPA toured the area/classroom where the incident occurred and interviewed Director.

On 6/14/23 an incident occurred at the center at or around 5:05 pm during pick up. A child (C1) was in the infant room when C1's parent arrived for pick up. C1's parent could not locate C1 outside. Parent asked staff members where C1 was. Staff members thought C1 was with a teacher outside, C1's parent did not find the child outside. C1 was found inside with another teacher. C1 returned to day care the next day.

LPA interviewed the director who stated that C1 followed a teacher into the room. The child was in the presence of two teachers inside the classroom. The child was not left unattended. Director states the child returned to the center the following day.

The center conducted it's own internal investigation of the incident and asked teachers to write a statement of the incident. Director provided a copy of the teachers written statements to LPA. Based on the teachers statements, child was not left unattended for more than a couple seconds. The child was found without harm and found to be in a happy state.

Given the incident was observed by staff who took appropriate action by keeping track of the child and having two teachers present with the child, no deficiencies are being issued as a result of this incident.
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)
Page: 1 of 1