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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401306
Report Date: 07/17/2025
Date Signed: 07/17/2025 06:03:43 PM

Document Has Been Signed on 07/17/2025 06:03 PM - 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
073401306
ADMINISTRATOR/
DIRECTOR:		PAMELA SOUZAFACILITY TYPE:
850
ADDRESS:4308 FOLSOM DRIVETELEPHONE:
(925) 754-3137
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 22DATE:
07/17/2025
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:11 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
06:16 PM
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Licensing Program Analyst (LPA) K. Canela arrived unannounced on 07/17/2025 at Kindercare Learning Center – Day Care Center for the purpose of conducting an Annual/Required inspection. Upon arrival LPA was greeted by a Teacher, Ms. Claudine. Director Pamela Souza, who has livescan fingerprint clearance, was assisting in the infant (toddler) group in the playground outside. Present during today’s inspection were: 5 teachers and 1 aide, 11 school age, 11 pre-schoolers, 24 pre-kindergarten, total 11 infants (under 24 months).
Facility hours of operation are Monday – Friday from 6:30 am to 6:00pm.

Physical Inspection: The LPA toured the facility with Director Pamela Souza. Director stated there are no weapons or firearms in the facility. LPA did not observed any bodies of water on the premises. There is a working telephone available. Director and staff understand smoking is prohibited on the premises. There are fully charged 3A40BC fire extinguishers observed in each classroom and a pull-down fire alarm. The indoor and outdoor activity space for the pre-school program is physically separate from the school-age component. The toilets and sinks were observed to be in operable condition. The kitchen/food preparation and storage areas were observed. Drinking water is available both indoors and outdoors. Menus are posted and visible for parents to review. Outdoor activity space was observed to be free of hazards. Climbing equipment is properly anchored to the ground with adequate and appropriate cushioning material to absorb falls.
Facility does not provide transportation for children during the summer when school is not in session; Director understands children cannot be left unattended in parked vehicles.
Report continued on LIC 809-C
NAME OF LICENSING PROGRAM MANAGER: Monica Mathur
NAME OF LICENSING PROGRAM ANALYST: Karina Canela
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401306
VISIT DATE: 07/17/2025
NARRATIVE
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Record Review: LPA reviewed a sample of staff and children's files. The facility roster was reviewed. Required postings were observed near the hallway. Disaster Drill was conducted on 06/18/2025; Fire Drill was conducted 06/10/2025. LPA reviewed Pediatric First Aid/CPR AED records. Staff have current Mandated Reporter Training. LPA reviewed staff's immunization records. LPA verified staff have required Livescan Criminal Record Clearances.

LPA discussed with Director requirement that the facility shall operate within the limitations and capacity of a Child Care Center with regards to ratios. Director understands children's personal rights should not be violated and no corporal punishment. Isolation of sick children, supervision of children, capacity options, transportation of children, requirements for reporting suspected child abuse, unusual incidents/injuries and requirements for assistant/substitute were also discussed.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.



Report continued on LIC 809-C
NAME OF LICENSING PROGRAM MANAGER: Monica Mathur
NAME OF LICENSING PROGRAM ANALYST: Karina Canela
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401306
VISIT DATE: 07/17/2025
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LPA discussed the following with Director:

Safe Sleep Regulations were discussed. Child Care Licensing Safe Sleep webpage provided: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep

Recalled Infant Devices can be checked on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ Licensee was informed to register all infant devices with the CPSC to ensure notification of any recalls on purchased equipment.

Mandated Reporter Training: Any person who works in a child care facility shall complete and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers.

Criminal Record Clearance or Exemption: Licensee understands all adults 18 and over residing, living in, or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home.

A civil penalty of $100.00 minimum per day, per individual, for a maximum of 5 days will be assessed for violation of regulation for uncleared individuals residing or being present in the facility.

MyChildCarePlan.org – Centers and Family Child Care Homes: Website was provided for Licensee; a consumer education website which helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Megan’s Law – Family Child Care Homes. Licensee confirmed there are no Registered Sex Offenders living in the facility and the RSO profile was completed.


Report continued on LIC 809-C...
NAME OF LICENSING PROGRAM MANAGER: Monica Mathur
NAME OF LICENSING PROGRAM ANALYST: Karina Canela
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401306
VISIT DATE: 07/17/2025
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The following deficiencies was observed during today's inspection:

- Staff (S1), an Aide, was supervising a pre-k classroom (pre-school discovery room according to Director) alone & without a teacher supervising.
- S1 does not have current CPR/First Aid and was supervising a pre-k classroom, with 11 children, unsupervised by a teacher or staff with a current CPR/First Aid certification.
- Children's files given to LPA for review were missing or had incomplete admission agreements.

Facility received Technical Violation (LIC 9102 form) for the following regulation: 101238(a)

Deficiencies cited (see LIC809-D page) from the California Code of Regulations, Title 22, Division 12, Chapter 1. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Appeal Rights Provided.

Exit interview conducted with Pamela Souza, Director, whose signature confirms receipt.

A notice of site visit was given and must remain posted for 30 consecutive days.

NAME OF LICENSING PROGRAM MANAGER: Monica Mathur
NAME OF LICENSING PROGRAM ANALYST: Karina Canela
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/17/2025 06:03 PM - It Cannot Be Edited


Created By: Karina Canela On 07/17/2025 at 04:29 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401306

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/17/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216.2(e)
Teacher Aide Qualifications and Duties
(e) An aide shall work only under the direct supervision of a teacher.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above in 1 out of 6 staff present, Staff (S1), an Aide, was supervising a pre-k classroom alone & without a teacher supervising, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/25/2025
Plan of Correction
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Director to submit a written plan detailing how the facility will meet and remain in future compliance with the regulation.
Type B
Section Cited
CCR
101221(b)(6)
Child's Records
(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:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 7 out of 7 children's files reviewed, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/08/2025
Plan of Correction
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Director to obtain complete and signed copies of admission agreements for children in care. Documents are to be located in Children's files for Community Care Licensing's review. Director to submit a statement in writing that the Plan of Correction was completed for LPA review.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Monica Mathur
NAME OF LICENSING PROGRAM MANAGER:
Karina Canela
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/17/2025


LIC809 (FAS) - (06/04)
Page: 6 of 8
Document Has Been Signed on 07/17/2025 06:03 PM - It Cannot Be Edited


Created By: Karina Canela On 07/17/2025 at 04:29 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401306

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/17/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216.3(a)
Teacher-Child Ratio
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above in 1 out of 6 staff present, Staff (S1), an Aide, was supervising a pre-k classroom alone & without a teacher or fully qualified teacher supervising, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/25/2025
Plan of Correction
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Director to submit a written plan detailing how the facility will meet and remain in future compliance with the regulation.
Type B
Section Cited
CCR
101216(f)
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above in 1 out of 6 staff present, Staff (S1), an Aide, does not have current CPR/1st Aide and was supervising a pre-k classroom alone & without a teacher or fully qualified teacher, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/25/2025
Plan of Correction
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Director to submit a detailed written plan of how they will be in future compliance. Director to submit proof of current CPR/1st aide for S1 and/or statement that S1 will not be left unattended (without a Qualified Teacher present in the classroom).
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Monica Mathur
NAME OF LICENSING PROGRAM MANAGER:
Karina Canela
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/17/2025


LIC809 (FAS) - (06/04)
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