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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013412610
Report Date: 03/05/2021
Date Signed: 03/05/2021 04:32:00 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 CENTERFACILITY NUMBER:
013412610
ADMINISTRATOR:KATHARINE STAUFFERFACILITY TYPE:
830
ADDRESS:4655 LASSEN ROADTELEPHONE:
(925) 455-1560
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY:36CENSUS: 2DATE:
03/05/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Cathy Bollinger, Acting DirectorTIME COMPLETED:
04:45 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
At approximately 8:15am LPA Clayton, LPA Dacanay-Breaux, and LPM Charles conducted an unannounced Case Management inspection of the infant/toddler component of the above mentioned childcare center. LPA's and LPM met with the acting center Director Cathy Bollinger.

LPA Clayton toured the infant classroom for a Health and Safety Inspection. Present at this time was 1 teacher Graciela Kennedy and 2 infants.

At 8:45am, LPA requested to see and review the files for the infant/toddler teachers. LPA reviewed 3 employee files ( S1, S2, S3) and completed the Evaluation of Teacher Qualifications for each file. S2 and S3 met the educational requirements for their respective class rooms.

S1 was advised that she did not met the requirement for an Infant teacher and was qualified as a Pre-School teacher. LPA Clayton advised S1 of the class needed to continue in the Infant/Toddler component, S1 acknowledged understanding.

Exit interview was conducted with Acting Director Catherine Bollinger, and Notice of Site Visit was given and to remain posted for 30 days.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lisa ClaytonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2021
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