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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013412601
Report Date: 09/20/2019
Date Signed: 09/20/2019 01:29:11 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
013412601
ADMINISTRATOR:GEMIGNANI-STEARNS, IDAFACILITY TYPE:
850
ADDRESS:38700 PASEO PADRE PARKWAYTELEPHONE:
(510) 796-0888
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:126CENSUS: 79DATE:
09/20/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Ida Gemiganani StearnsTIME COMPLETED:
01:49 PM
NARRATIVE
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Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conduct an Annual/Required inspection. LPA was met by Director Ida Gemiganani Stearns. Present during today's visit was 11 staff members and 79 preschool aged children.

LPA conducted a health & safety inspection of the facility. On today's date facility is following the appropriate teacher to child ratio. Disinfectants, and other items that could pose a hazard to children are kept inaccessible. Medications are kept in a safe place inaccessible to children. Furniture and equipment both indoors and outdoors is kept in good condition. Kitchen and food prep areas are protected from contamination. Children have access to uncontaminated drinking water both indoors and outdoors. Facility has one or more functioning carbon monoxide detectors. At least one person trained in CPR/Pediatric First aid is present when children are at the facility. The person who signs the child in/out uses their full legal signature and records the time of day. Child's admission agreement is available for review. The child is signed in/out by the person responsible for the child.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. 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

No deficiencies are being cited during today's visit. An exit interview was conducted. The licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. This report must be available for public review for 3 years. LPA provided Notice of Site visit and Licensee posted visit notice in LPAs presence.

SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019
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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