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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401324
Report Date: 01/25/2023
Date Signed: 01/25/2023 05:23:35 PM


Document Has Been Signed on 01/25/2023 05:23 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
073401324
ADMINISTRATOR:SAUTER, LISAFACILITY TYPE:
830
ADDRESS:2300 MAHOGANY WAYTELEPHONE:
(925) 778-8888
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:36CENSUS: 8DATE:
01/25/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Lisa SauterTIME COMPLETED:
05:30 PM
NARRATIVE
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On 01/25/23 at 3:45PM, Licensing Program Analyst (LPA) Christina Watts met with Director, Lisa Sauter and Assistant Director Selene Acosta to conduct a Case Management inspection for the Lead Testing results at Kindercare Learning Center - 1039

It was indicated that there were 1 outlet which exceeded the Action Level established by the State for exposure. Facility submitted test results on 01/13/2023 with LIC 9275 and LIC 9276 along with an update facility sketch of location of outlets. LPA Watts spoke with the Assistant Director on 01/18/2023. Assistant Director stated the facility is currently not using the water fountains and children are provided cups and drinking water. Assistant Director sent Plan of Correction for outlet.

During today's inspection, LPA conducted an inspection and toured the premises with Director, Lisa. LPA observed the outlet located inside the facility that was used for drinking water prior to pandemic. Since pandemic, facility ceased to use drinking fountains and children use cups of water. LPA observed outlet have been made inaccessible to children. They plan to permanently remove the outlets and a work order has been placed.

Licensing received lead testing results for facility which states 2 outlets are over exceedance. LPA Watts spoke with Maintenance Tech, Ryan to verify how many outlets are over exceedance. According to the Maintenance Tech, the facility has only 1 outlet over exceedance . Director states that facility sent lead testing water results in error. LPA requested documentation from facility stating only one outlet is over exceedance.

Due to outlet being in use by children for drinking water before pandemic, children were potentially exposed to lead which is a risk to their health and safety. Deficiency is cited on page 809D.

Exit interview conducted and report was reviewed with the Director, Lisa Sauter and Assistant Director, Selene Acosta. A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Christina WattsTELEPHONE: (510) 246-1797
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023
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


Document Has Been Signed on 01/25/2023 05:23 PM - It Cannot Be Edited

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
FACILITY NUMBER: 073401324

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/24/2023
Section Cited

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b)(2) Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care. This requirement is not met as evidenced by:
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By COB 02/24/2023, facility will have outlet permanetly removed from outdoor play yard and will submit visual proof to licensing.
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Per Lead Testing results, there is 1 drinking water outlet inside facility with lead exceedance. Director states outlets have not been used since pandemic. Since they were in use before pandemic, this poses/posed potential risk to health/safety of children.
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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: Sherelle JohnsonTELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Christina WattsTELEPHONE: (510) 246-1797
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023
LIC809 (FAS) - (06/04)
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