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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073403053
Report Date: 06/13/2023
Date Signed: 06/13/2023 03:52:26 PM


Document Has Been Signed on 06/13/2023 03:52 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:
073403053
ADMINISTRATOR:ADEEBA AQMALFACILITY TYPE:
850
ADDRESS:4108 LONE TREE WAYTELEPHONE:
(925) 754-1236
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY:96CENSUS: 65DATE:
06/13/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Shannon RegachoTIME COMPLETED:
03:00 PM
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On 6/13/23 Licensing Program Analysts (LPAs) Monica Mathur and Christina Watts conducted a Case Management inspection at Kindercare Learning Center, met with Director, Shannon Regacho and explained purpose of today's inspection.

During inspection, LPAs discussed and provided technical information on Reporting Requirement regulations and best practices. This report was reviewed with Director, Shannon Regacho. NOTICE OF SITE VISIT WAS ISSUED, MUST BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2023
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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