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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801329
Report Date: 10/01/2019
Date Signed: 10/01/2019 11:15:25 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:KINDERCARE LEARNING CENTER, #1015FACILITY NUMBER:
103801329
ADMINISTRATOR:AVALOS, TASHAFACILITY TYPE:
850
ADDRESS:1785 VILLA DRIVETELEPHONE:
(559) 297-1888
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY:72CENSUS: 58DATE:
10/01/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Beatrice AlvarezTIME COMPLETED:
11:25 AM
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On 10/01/2019, Licensing Program Analysts (LPAs) Candis Rodriguez and Caroline Harris conducted a Plan of Correction inspection. The purpose of this inspection was to clear deficiencies previously cited during the annual inspection on 08/29/2019. LPAs met with Assistant Director Beatrice Alvarez and explained the purpose of the inspection. A tour of the facility was conducted, and a census was taken. LPAs observed a total of 58 children.

On 08/29/2019, during an unannounced annual inspection, LPA Candis Rodriguez observed required Health Screening reports and proof of immunizations missing from multiple employee personnel files (See LIC 809, LIC 809C and LIC 809D from report dated 08/29/2019).

Upon today’s review of facility personnel files, LPAs observed all missing and required documentation has been updated for all employees and were available for review.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit. Exit interview conducted with Beatrice Alvarez. A Notice of Site Visit was posted on parent board. Cleared Plan of Correction Letter was given to Assistant Director.



A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019
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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