073401307-6-23-2023-02-CC-BPLY-CT3TTK-20230623150052

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073401307
Report Date: 06/23/2023
Date Signed: 06/23/2023 03:00:58 PM

COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/23/2023 03:00 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	073401307
ADMINISTRATOR:	PAMELA SOUZA		FACILITY TYPE:	840
ADDRESS:	4308 FOLSOM DRIVE		TELEPHONE:	(925) 754-3137
CITY:	ANTIOCH	STATE: CA	ZIP CODE:	94531
CAPACITY:	38	CENSUS: 27	DATE:	06/23/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Jamari Fredenburg- Director		TIME COMPLETED:	03:15 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	On 6/23/23, LPA Briana Plumboy met with Director Jamari Fredenburg for an unannounced random inspection. The center and playground were toured to conduct a Health and Safety inspection. There were 27 children present during the visit. Also present for the visit was 3 staff. The center consists of 1 room. There is adequate storage for children's belongings. There is adequate furniture, toys and activities, which are age appropriate. The heating and lighting is adequate. There is drinking water readily available to children. There are bathrooms for boys and girls. All toilets flush properly, and there is running water, soap, and paper towels available for children to wash and dry their hands. There is a separate bathroom for staff. There are no bodies of water, or free standing water, accessible to children. Per teacher, there are no firearms on the premises of the child care center. There is a kitchen. There is a menu posted, and there are no cleaning supplies stored with food. There are ample mats and sheets available for children's use, and they are stored properly. All required documents are posted for public review. The center is in compliance with the sign in and out procedure. Disaster drills are being conducted every month, and the log indicates the last one done was on 5/12/22. The center is equipped with a fully stocked first aid Kit, working telephone, carbon monoxide detector, pull down fire alarm and fire extinguishers. The center roster was reviewed. At least one opening/closing staff member has a current CPR/First Aid certificate. Director understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips). See 809-C for continuance

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: 510-286-4356
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 073401307
	VISIT DATE: 06/23/2023

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

California Law requires Child Care Centers 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 624B). 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.

Director was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Director is reminded that ALL assistants, volunteers, and staff, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Director was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov

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

No deficiencies cited during today's inspection. See 3 advisory notes. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with Director Jamari Fredenburg.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: 510-286-4356
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023

LIC809 (FAS) - (06/04)

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