KinderCare Learning Center

CCR 101220(a) · Type B

(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. This requirement is not met as evidenced by: Based on record reviews, the licensee did not comply with the section cited above in 4 out of 5 children, which poses a potential health, safety or personal rights risk to persons in care.

CCR 101220.1(a) · Type B

(a) Prior to admission to a child care center, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, commencing with Section 6000. This requirement is not met as evidenced by: Based on record reviews, the licensee did not comply with the section cited above in 1 out of 5 children, which poses a potential health, safety or personal rights risk to persons in care.

ALLEGATION(S): Staff do not ensure infants diapers are being changed in a timely manner. INVESTIGATION FINDINGS: Licensing Program Analyst (LPA) S.M. made an unannounced subsequent complaint investigation visit, and met with Center Director (CD), B.H., for the purpose of delivering findings of the above allegation. LPA previously met with CD on 05/01/2025 and 06/11/2025 to open the complaint and conduct investigation. It’s alleged that staff do not ensure infants diapers are being changed in a timely manner, specifically that, diapers are not being changed every 2 hours. During the investigation, LPA made observations, received documents and conducted interviews with CD, four staff (S1- S4), and four Parents (P2, P4 -P5 & P7) from 05/01/2025 to 06/11/2025. LPA attempted interviews with four parents (P1, P3, P6 & P8), however; those parents did not respond. CD stated that the diaper changing policy consisted of changing a child’s diaper every 1 to 1.5 hours, as needed or more often if parent requested; and diaper changes are logged into the KinderCare app to notify parents. Continue on LIC9099-C Unsubstantiated Estimated Days of Completion:

HSC 1596.7995(a)(1) · Type B

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by: Based on eight staff (S1-S7 & CD) records reviewed at 11:14am which revealed S7 was missing proof of immunity against Measles. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101216(g)(1) · Type B

(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure. This requirement is not met as evidenced by: Based on eight staff (S1-S7 & CD) records reviewed at 11:14am which revealed S7's Tuberculosis (TB) clearance was more than one year of the hire date. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101221(b)(6) · Type B

(b) Each record shall contain information including, but not limited to, the following: (6) A signed copy of the admission agreement specified in Section 101219. This requirement is not met as evidenced by: Based on five children's (C1-C5) records reviewed at 11:55am which revealed C1 & C4's Admission Agreements were not signed by the children's parents. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101221(b)(8)(C) · Type B

(b) Each record shall contain information including, but not limited to, the following: (8) Medical assessment, including ambulatory status as specified in Section 101220, and the following health information: (C) A signed consent form for emergency medical treatment unless the child's authorized representative has signed the statement specified in Section 101220(f). This requirement is not met as evidenced by: Based on five children's (C1-C5) records reviewed at 11:55am which revealed C1 was missing LIC 627. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101419.3(a) · Type B

(a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. This requirement is not met as evidenced by: Based on LPA's observations of several children's including C2-C5's Infant Needs and Services Plan had not been updated quarterly. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101220(a) · Type B

(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. This requirement is not met as evidenced by: Based on five children's (C1-C5) records reviewed at 11:55am which revealed C1 was missing LIC 701. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101229.1(a)(1) · Type B

(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. This requirement is not met as evidenced by: Based on LPA's review of the children's sign in/out procedure which revealed that several children had not been signed in and out. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101429(a)(2)(B) · Type B

(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: This requirement is not met as evidenced by: Based on the Director not furnishing evidence to prove 15 minute checks were conducted for C1, C3-C5, as well as for all infants in the toddler classroom. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101429(a)(2)(B)(3)(a) · Type B

(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: (3) Infants up to 12 months of age who are sleeping in a position other than on their back. (a) If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping. This requirement is not met as evidenced by: Based on five children's (C1-C5) records reviewed at 10:24am which revealed C1 & C5 were missing LIC 9227. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

HSC 1596.7995(a)(1) · Type B

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by: Based on four staff (S1-S4) records reviewed at 9:29am which revealed S4 was missing proof of immunity against Measles. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101216(g)(1) · Type B

(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure. This requirement is not met as evidenced by: Based on four staff (S1-S4) records reviewed at 9:29am which revealed S1 was missing Health Screening (LIC 503). The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101221(b)(4) · Type B

(b) Each record shall contain information including, but not limited to, the following: (4) Date of Admission. This requirement is not met as evidenced by: Based on five children's (C1-C5) at 10:24am which revealed some children's records were missing date of admission. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101221(b)(6) · Type B

(b) Each record shall contain information including, but not limited to, the following: (6) A signed copy of the admission agreement specified in Section 101219. This requirement is not met as evidenced by: Based on five children's (C1-C5) records reviewed at 10:24am which revealed C2 & C5's enrollment agreements were not signed by the parent. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101419.3(a) · Type B

(a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. This requirement is not met as evidenced by: Based on a review of the children's Infant Needs and Service Plans which reflected the plans had not been updated quarterly. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101220(a) · Type B

(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child. This requirement is not met as evidenced by: Based on five children's (C1-C5) records reviewed at 10:24am which revealed C1-C3's Physician's Report were either incomplete or missing. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101220.1(g) · Type B

(g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled. This requirement is not met as evidenced by: Based on five children's (C1-C5) records reviewed at 10:24am which revealed C1-C5's Immunization were either not up to date or was missing. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101220.1(g)(1) · Type B

(g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled. (1) This requirement includes updating each child's immunization record when the child is due to receive required immunizations after enrollment in the child care center. This requirement is not met as evidenced by: Based on five children's (C1-C5) records reviewed at 10:24am which revealed C1-C5's Immunization records were not transcribed onto the blue CDPH 286. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101229.1(a)(1) · Type B

(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. This requirement is not met as evidenced by: Based on LPA's review of the children's sign in/out procedure which appered to be incomplete. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101439.1(b) · Type B

A crib or portable-crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib This requirement is not met as evidenced by: Based on the Director's statement confirming some infants that did not have the ability to climb out of a crib took a nap on a cot. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101416.2(b) · Type B

101416.2 (b)...infant care teacher shall have completed, with passing grades, at least three postsecondary semesters or equivalent quarter units in early childhood education or child development... units related to the care of infants...approved college or university. Based on facility record review, Staff did not have the required units and no verification of staff ECE units were present at the faculity. This poses a potential Health and Safety risk to children in care.

ALLEGATION(S): Staff are not following Safe Sleep practices INVESTIGATION FINDINGS: On 06/10/2022, Licensing Program Analyst (LPA), M.A. conducted a subsequent complaint investigation inspection to the facility for the purpose of delivering complaint finding. It was alleged that staff (S1) was not following Safe Sleep practices by placing infants on their stomachs to sleep and letting them sleep in equipment other than cribs. The Director was interviewed on 4/25/22 and on 5/23/22. The Director denied the allegation saying that infants are placed on their backs in their cribs and that staff do 15 min checks and that S1 strictly follows the safe sleep protocols. The LPA interviewed 6 out of 6 staff on 4/25; 5/17 and 5/19 and all confirmed seeing S1 placing infants on their backs for sleeping and that infants, when falling asleep are immediately moved to a crib for sleeping. The LPA interviewed 5 out of 5 witnesses on 5/17; 5/20, 5/23 and 5/25. (Continue to LIC 9099-C) Unsubstantiated Estimated Days of Completion: