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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401316
Report Date: 08/07/2019
Date Signed: 08/07/2019 03:24:05 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, #1367FACILITY NUMBER:
073401316
ADMINISTRATOR:BETTS, LAWANDAFACILITY TYPE:
840
ADDRESS:3240 SAN PABLO DAM ROADTELEPHONE:
(510) 222-1144
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY:42CENSUS: 13DATE:
08/07/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Lawanda BettsTIME COMPLETED:
03:30 PM
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Licensing Program Analysts (LPAs) Paul Petersen and Mayla Mendoza conducted an announced case management site inspection for this facility for a decrease of capacity. Applicant has submitted an application to reduce the classroom area and decrease capacity accordingly. LPAs met with the facility director, Lawanda Betts. and toured the areas of the school age program for a health and safety inspection. This program is the school age component of a combination center. Applicant has also submitted an application to add a room to the infant component of this facility. There is also a preschool age program at this facility. The school age program will operate in the school age classroom 4, Monday to Friday from 6:30am-6:30pm. The measurements are as follows:

INDOORS: 405.33 square feet = 30 children
OUTDOORS: 9400.24 square feet = 125 children

The outdoor playground is shared use between the preschool and school age children on a schedule to ensure that the different ages will not commingle. The outdoor play area is fenced in all around. The climbing equipment has cushioning under/around. The facility is to ensure that the infant program children and preschool age children do not commingle in the outdoor areas.

The school age rooms are equipped with varied age appropriate materials and equipment which is in good repair. There are 2 toilets, and 3 sinks available to children. The director's office and the staff toilet will serve as isolation areas for sick children. There are individual storage cubbies for children's belongings as well as napping equipment/cots. Hazardous items/toxins are stored inaccessible to children in care. First aid supplies are available in the center. There is a working telephone on site. There is a carbon monoxide detector present.

Continued on Page 2*************************************************************************************************
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul PetersonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019
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 2
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: 073401316
VISIT DATE: 08/07/2019
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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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.

LPAs and facility staff reviewed mandatory reporter training requirements including the two year requirement and the training website: www.mandatedreporterca.com. To subscribe to quarterly updates contact: ChildCareAdvocatesprogram@dss.ca.gov and for licensing regulations and forms visit www.ccld.ca.gov.


The decrease of capacity request is approved effective 08/07/19 with maximum school age capacity of 30.

An exit interview was conducted
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul PetersonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2