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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003103
Report Date: 11/06/2019
Date Signed: 11/06/2019 02:41:46 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198003103
ADMINISTRATOR:MARY BRAMMERFACILITY TYPE:
830
ADDRESS:18727 CARMENITATELEPHONE:
(562) 924-8718
CITY:CERRITOSSTATE: CAZIP CODE:
90703
CAPACITY:32CENSUS: 6DATE:
11/06/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Mary Brammer-Nichols, DirectorTIME COMPLETED:
03:10 PM
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An unannounced Case Management Inspection was conducted on this day by Licensing Program Analyst (LPA) A. Lucero to address an Unusual Incident Report that was received in the licensing office on 10/30/2019. LPA met with Director Mary Brammer-Nichols.

On 10/30/19, it was reported to the licensing department that child #1, #2, and #3 had contracted Hand, Food and Mouth. It was stated during interview with director that parents were contacted to pick up children, facility was disinfected and sanitized. It was also stated that the infants were able to return to school with a doctor's note. LPA obtained a cleaning log check list and doctor's notes.

Based on all information obtained on this date, and interviews conducted, no follow-up is necessary regarding the incident. It appears to be nothing the facility staff could have done to prevent the incident from occurring. There were no deficiencies observed in regards to today's visit.

The Director was a complete packet of the Provider Information Network (PIN) 10-02-CCP (and SP) dated February 20, 2019 regarding Safe Sleep Awareness Campaign during today’s inspection.

There were no deficiencies cited during today's visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1

Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

Exit interview, copy of report was given. Appeal rights were issued and discussed.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019
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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