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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343602989
Report Date: 09/29/2021
Date Signed: 09/29/2021 02:13:21 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:KINDERCARE LEARNING CENTER - LEXINGTON (INF)FACILITY NUMBER:
343602989
ADMINISTRATOR:JODY BRAUN DARONEFACILITY TYPE:
830
ADDRESS:295 S. LEXINGTON DRIVETELEPHONE:
(916) 983-6169
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:32CENSUS: 19DATE:
09/29/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Jody DaroneTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Kelly Ferrara conducted a Plan of Correction inspection at the facility and met with Director Jody Darone. On September 29th, 2021, LPA observed 19 infant children in care with four staff.

On September 3rd, 2021, LPA issued the following citation: 101221(a) Children's Records are separate and complete. LPA had observed that children's files were missing forms LIC701 and CDPH286.

During today's inspection, LPA observed that the required documentation was present in each child's file. LPA was able to clear the citation today and provided a letter as proof.

There were no deficiencies cited based on today's inspection. LPA provided a Notice of Site visit that must remain posted for 30 days for parental review.
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Kelly FerraraTELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
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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