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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401315
Report Date: 07/15/2024
Date Signed: 07/15/2024 11:21:46 AM


Document Has Been Signed on 07/15/2024 11:21 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:KINDERCARE LEARNING CENTER, #1367FACILITY NUMBER:
073401315
ADMINISTRATOR:BETTS, WANDAFACILITY TYPE:
850
ADDRESS:3240 SAN PABLO DAM ROADTELEPHONE:
(510) 222-1144
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY:72CENSUS: DATE:
07/15/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Wanda BettsTIME COMPLETED:
11:30 AM
NARRATIVE
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On 07/15/2024 at 9:00 AM Licensing Program Analyst (LPA), A. Curry conducted an unannounced case management inspection to follow up on a self-reported unusual incident. LPA met with the Director, Wanda Betts, to explain the purpose of today's visit. LPA made observations and conducted interviews with staff and children. No deficiencies are being cited today.


Exit interview conducted, appeal rights were given, and report was reviewed with the Director, Wanda Betts.
SUPERVISOR'S NAME: Monica MathurTELEPHONE: (510) 365-5196
LICENSING EVALUATOR NAME: Ashley CurryTELEPHONE: 510-566-1562
LICENSING EVALUATOR SIGNATURE:
DATE: 07/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/15/2024
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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