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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401306
Report Date: 10/27/2025
Date Signed: 10/27/2025 02:07:25 PM

Document Has Been Signed on 10/27/2025 02:07 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: 34CENSUS: 21DATE:
10/27/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Shawn Powers, DirectorTIME VISIT/
INSPECTION COMPLETED:
02:25 PM
NARRATIVE
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Licensing Program Analyst (LPA) Canela arrived unannounced on 10/27/2025 at Kindercare Learning Center - Day Care Center component. The purpose of this visit is to conduct a case management - deficiencies inspection after deficiencies were observed during a separate inspection relating to a complaint investigation.

The Day Care Center component of this facility currently has 34 children enrolled. Present during today's inspection were a total of 14 pre-school & pre-k children (with 3 teachers), 6 children in the 2's classroom (2 teachers).
Through record review and interviews conducted, a violation of regulation 101212 Reporting Requirements was discovered.

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: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/27/2025
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: 10/27/2025
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Community Care Licensing, Oakland Child Care Regional Office became aware of Incidents which occurred on 04/02/2025, 04/15/2025, 04/28/2025, 06/24/2025, 07/01/2025, and 10/06/2025 between the Toddler Classroom, Infant Classroom, Preschool Classroom, and Pre-k Classroom. Incidents involved confirmed cases and cases of children exposed to Hand, Foot, and Mouth Disease (HFMD).
Confirmed cases of HFMD were found on 04/28/2025 in the pre-school and pre-k classroom per the Kindercare notification made to parents. Interviews conducted and record review revealed the Interim Director at the time, Pamela Souza, did not report the incidents to the State of California, Department of Social Services, Community Care Licensing (CCL) as required. LPA confirmed Kindercare did not submit an incident report or notify CCL by phone or fax. This is a potential risk to the health, safety, and personal rights of children in care.

Additionally, the facility did not notify the Local Public Health Department for guidance to properly sanitize and disinfect to contain the spread of the disease to several classrooms.

Per interviews conducted and record review, Interim Director Pam Souza (now Assistant Director) did not maintain any documentation of the confirmed cases of HFMD. On 10/21/2025 and 10/22/2025, LPA Canela requested documentation and information on the names of the children with confirmed cases with the exact dates. Assistant Director Souza stated on 10/21/2025 and 10/22/2025 that they did not keep any documentation to provide to CCL.

Deficiencies cited (see LIC 809-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 Director Shawn Powers, 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: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/27/2025 02:07 PM - It Cannot Be Edited


Created By: Karina Canela On 10/27/2025 at 12:28 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: 10/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/29/2025
Section Cited
CCR
101212(d)

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101212 Reporting Requirements: Upon the occurrence...of any of the events specified in (d)(1)...a report shall be made to the Department by telephone or fax within the Department's next working day...In addition, a written report containing the information specified in (d)(2) below shall be...
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Licensee to submit Incident Reports (form LIC624) for each occurance of the infectious disease (HFMD) with required detailed information. Licensee to submit a statement that they will be in future compliance with the CCL requirement. Incident Reports and Statement due by 10/29/2025
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 ...submitted to the Depart. within 7 days following the occurrence of such event. This requirement is not met as evidenced by: Based on interview &record review, Licensee did not comply with the reg. above due to failing to report infectious cases in April, June, July, & October of 2025
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This is a potential risk to the health, safety, and personal rights of children in care.

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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: 10/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/27/2025


LIC809 (FAS) - (06/04)
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