073401315-12-11-2019-02-CC-PPEN-BJRW3V-20191211155634

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073401315
Report Date: 12/11/2019
Date Signed: 12/11/2019 03:56:42 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	KINDERCARE LEARNING CENTER, #1367		FACILITY NUMBER:	073401315
ADMINISTRATOR:	BETTS, LAWANDA		FACILITY TYPE:	850
ADDRESS:	3240 SAN PABLO DAM ROAD		TELEPHONE:	(510) 222-1144
CITY:	SAN PABLO	STATE: CA	ZIP CODE:	94806
CAPACITY:	72	CENSUS: 26	DATE:	12/11/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Lawanda Betts		TIME COMPLETED:	02:45 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	Licensing Program Analyst (LPA) Paul Petersen conducted an unannounced random annual site inspection for this facility at 1215. LPA met with director, Lawanda Betts, and toured all areas of the facility licensed for use by preschool age children. Also present at the time of LPA's inspection were 26 napping preschool age children and two teaching staff. Two additional teaching staff were on break at the time of inspection. Two of the teaching staff were qualified teachers and two were aides. The facility was within ratio and capacity. All adults present are background cleared. This program is the preschool component of a combination center and operates out of three rooms. All rooms were inspected for health and safety. Furnishings are age appropriate and in good repair. Floors, counters and surfaces are free of hazardous conditions. There were no hazardous items/toxins observed to be accessible. Toilets and faucets are age appropriate and in working condition. Per facility director, there are no firearms stored or present on the premises. First aid supplies were inventoried. This facility serves breakfast, lunch and snacks. There are menus posted. There is indoor and outdoor drinking water available for children in care via working drinking fountains, water jug with cups and individual sippy cups. Food prep and storage areas were inspected and are clean and appear free of pests. There is a working smoke detector, working carbon monoxide detector and fully charged fire extinguisher present. The most recent fire department inspection was within the past six months. This facility provides Incidental Medical Services-IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children's, personnel, and administrative records. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information 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 Continued of Page 2***************************************************************************************

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

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 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER, #1367	FACILITY NUMBER: 073401315
	VISIT DATE: 12/11/2019

NARRATIVE

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There are storage cubbies available for children's belongings. Napping equipment is in good condition and sleeping linens/blankets are stored and used per individual child.

The facility's outdoor play area is fully fenced and free of observed hazards. There is one piece of high climbing equipment/slides which is securely anchored and free of broken/sharp pieces. There is cushioning around and under the climbing equipment. There are no pools or other bodies of water accessible to children. The outdoor play area is also used by the school age program at this facility. Use of the area is per a schedule to ensure the preschool and school age programs do not commingle.

LPA reviewed the facility, personnel and children's records including children's admissions agreements, parents' rights forms, and emergency ID forms and staff teaching qualifications and background clearances. Teacher qualification form was completed for one staff during this inspection. All required postings are present. Multiple staff present have current CPR/First Aid certification. At 1:10, LPA observed that there were 26 children present and 17 children signed in to the facility.

Facility Staff are encouraged to visit www.ccld.ca.gov for licensing updates and forms. Contact: ChildCareAdvocatesprogram@dss.ca.gov to sign up for quarterly updates. Staff are also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

The attached Type B deficiency was cited during this inspection. Appeal rights was provided and a notice of site visit was provided and is to remain posted for 30 days. A copy of this report was issued and is to remain in the facility records for a period of three years.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER, #1367	FACILITY NUMBER: 073401315
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/11/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/26/2019 Section Cited	1 2 3 4 5 6 7	101229.1(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out. This facility was not in compliance with this requirement as evidenced by LPA's observation that there were 26 children present at the facility and 17 children signed in posing a potential risk to the
	8 9 10 11 12 13 14	health and safety of children in care.	8 9 10 11 12 13 14	until corrected.
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

LIC809 (FAS) - (06/04)

Page: 3 of 3