013412606-11-8-2021-52-CC-CURE-C8KVP3-20211108153605

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013412606
Report Date: 11/08/2021
Date Signed: 11/08/2021 03:37:58 PM

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 CENTER		FACILITY NUMBER:	013412606
ADMINISTRATOR:	NARINDER BRAICH		FACILITY TYPE:	840
ADDRESS:	3760 BROCKTON DRIVE		TELEPHONE:	(925) 846-1240
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94588
CAPACITY:	24	CENSUS: 5	DATE:	11/08/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Tywanda Bartlow		TIME COMPLETED:	03:45 PM

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On 11/08/2021 at 8:30am, Licensing Program Analyst (LPA) Christina Uribe & Licensing Program Manager (LPM) Chandra Charles conducted an unannounced Annual Required Inspection and met with Director Tywanda Bartlow. LPA Uribe disclosed the purpose of the health and safety inspection and was granted entry into the facility. Present during the inspection was 5 students & 3 fingerprint cleared staff members. The center consists of 1 classroom inside of 1 shared building. The hours of operation are 6:30a-6:00p, Monday-Friday.

CLASSROOMS: The classrooms was inspected. There are adequate play and learning materials available. There is adequate heating/air conditioning, ventilation, & lighting. The floors, furniture and equipment are age-appropriate and in good repair. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children is in the designated area of the classroom in the corner library area. LPA Uribe tested one carbon monoxide detector and one smoke detector located in the classroom. Both devices were functional. The center is equipped with a working telephone, carbon monoxide detector, fire alarms which are connected to the building's system and a fully charged 3A10BC fire extinguisher. All solid waste storage containers have tight fitting covers on and appears to be in good repair.

BATHROOMS & TOILETING AREAS: There are separate bathrooms for staff and children. Toilets and faucets are in safe and sanitary operating condition. The children are able to reach the sinks and toilets. Supplies are available to children.

FOOD SERVICE AREAS: The kitchen is clean, adequately equipped, and LPA did not observe any food stored with cleaning supplies. The menus posted are needing to updated with the current month & shall be posted one week in advance, available for review and dated. LPA Uribe observed the food items in the freezer did not include an expiration date resulting in a technical violation.

***Continued on LIC 809C***

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Christina Uribe	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 013412606
	VISIT DATE: 11/08/2021

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OUTDOOR PLAY AREAS: There are no bodies of water, or free-standing water accessible to children. There are age appropriate toys and materials for the children. The playground outside is fenced and all equipment and surfaces are free from hazards.

RECORDS: All individuals subject to criminal record review have a clearance and have been associated to the facility. Children’s files and staff files were reviewed around 11:20am. At least one opening/closing staff member has a current CPR/First-Aid Certificate. Mandated Reporter Training was discussed, and certificates were reviewed. Director’s CPR/First-Aid Certificate is current. The center is in compliance with the sign in and out procedure. Per director, there are no firearms stored on the premises. Emergency drills are performed each month and recorded on emergency drill log accordingly. All required documents are posted in a publicly accessible area. Children's files were found to have incomplete licensing forms resulting in a technical violation.

HEALTH RELATED SERVICES: LPA Uribe inspected the facility and no medications are being administered at this time. The center is equipped with a fully stocked first-aid kit and available in the classrooms.

California Law requires Family Child Cares licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained and fire/disaster drill every six months must be documented. The director was reminded that Licensing needs to be informed prior to use of additional areas in the facility.

Licensee 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. The director was reminded of the responsibility as a mandated reporter. All forms can be downloaded at cdss.ca.gov.

***Continued on LIC 809C***

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Christina Uribe	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 013412606
	VISIT DATE: 11/08/2021

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Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, a Plan for Providing 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

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.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the director Tywanda Bartlow

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Christina Uribe	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021

LIC809 (FAS) - (06/04)

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