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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013415775
Report Date: 12/14/2023
Date Signed: 12/14/2023 10:54:58 AM


Document Has Been Signed on 12/14/2023 10:54 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
013415775
ADMINISTRATOR:SCOTT KINSERFACILITY TYPE:
830
ADDRESS:11925 AMADOR VALLEY COURTTELEPHONE:
(925) 875-0400
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:36CENSUS: 55DATE:
12/14/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director, Scott KinserTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Jyoti Saini met with Director Scott Kinser to conduct a Case Management inspection for the Lead Testing results at this facility. In addition to the director, 55 children, and nine(9) staff members are present today. The facility operates Monday - Friday from 7:00 am to 6:00 pm. Based on observation and record review, LPA concluded that outlets that exceeded the Action Level established by the state for exposure fall under the preschool license # 013415772; however, under the Child Care Center Lead sampling and reporting tool, it has been recorded under the preschool license # 013415775. The facility was already cited for lead exceedance ( see report LIC809 on 01/31/2023, # 013415772 ). The facility was advised to contact the water sampling Technician to correct this discrepancy in the system. LPA obtained the facility stretch and testing results during the inspection.
A notice of site visit was given and must remain posted for 30 days.

An exit interview was conducted, and the report was reviewed with the Director, Scott Kinser.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti SainiTELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2023
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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