073401316-12-11-2019-02-CC-PPEN-BJRVYN-20191211155125

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073401316
Report Date: 12/11/2019
Date Signed: 12/11/2019 03:51:30 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:	073401316
ADMINISTRATOR:	BETTS, LAWANDA		FACILITY TYPE:	840
ADDRESS:	3240 SAN PABLO DAM ROAD		TELEPHONE:	(510) 222-1144
CITY:	SAN PABLO	STATE: CA	ZIP CODE:	94806
CAPACITY:	30	CENSUS: 20	DATE:	12/11/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Lawanda Betts		TIME COMPLETED:	03:55 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 2:45. LPA met with facility director, Lawanda Betts, and toured all areas utilized for childcare for a health and safety inspection. There were 20 school age children present today along with two teaching staff. One of the staff is a qualified teacher and the other is an aide. The facility is within ratio and capacity and children are being supervised. All adults present are background cleared and associated to this facility. This program is the school age care component of a combination center and operates out of one classroom. The facility was most recently inspected by the fire department within the past six months. The facility has multiple smoke detectors, a working carbon monoxide detector, fully charged fire extinguishers and fire alarm. Hazardous items/cleaning supplies are stored inaccessible to children in care. Per facility director, there are no firearms present or stored on the premises. Furnishings and equipment are age appropriate and free of broken/sharp pieces. Surfaces including floors, counter tops and desk tops are free of toxins and free of hazardous conditions. Toilets and faucets are age appropriate and in working condition. The facility serves snacks and there is a snack menu posted. There are working water fountains indoors and outdoors for children's drinking water. Continued on 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)

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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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER, #1367	FACILITY NUMBER: 073401316
	VISIT DATE: 12/11/2019

NARRATIVE

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For outdoor play, this program shares the play space with the preschool located on site. The outdoor play area is used per a schedule to ensure that school age and preschool age children do not commingle. There is shade available and climbing structure/slides are age appropriate and securely anchored with cushioning under and around the equipment. There are no observed hazardous conditions and no accessible bodies of water are present.

LPA reviewed the facility, personnel and children's records including children's emergency ID forms, children's admissions agreements, staff teaching qualifications and staff background clearances. At least one staff present has current CPR/First Aid certification. Teacher qualification form was completed for one teacher during this inspection. All required postings are present.

This facility provides Incidental Medical Services-IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children's, personnel, and administrative records. At 1420, LPA observed that children, C1 and C2, had prescription medications present without signed parental consents available. 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

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. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

There were no deficiencies cited during this inspection. A notice of site visit was provided and is to remain posted for 30 days. A copy of the appeal rights and a copy of this report were provided and this report 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 2