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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603018
Report Date: 02/11/2020
Date Signed: 02/11/2020 12:53:09 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 - MACK (INF)FACILITY NUMBER:
343603018
ADMINISTRATOR:PAULA RITTERFACILITY TYPE:
830
ADDRESS:4920 MACK ROADTELEPHONE:
(916) 428-1880
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:36CENSUS: 14DATE:
02/11/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Paula RitterTIME COMPLETED:
12:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Elvira Sierra conducted an unannounced Case Management inspection and met with Director, Paula Ritter. Upon arrival LPA tour the infants classrooms and observed 10 infant children being supervised by 2 staff members. Staff-Infant Ratio requirements state that there shall be a ratio of one teacher for every four infants in attendance. Later during the inspection Director Assistant, 2 staff members and 4 more infants arrived. Infants were separated into the two infants classrooms and facility was in ratio by the end of the inspection. Director stated that one teacher called in sick today. LPA conducted file reviews and learned that infant teachers have infant qualifications.

Title 22 deficiency cited on 809-D. Report was reviewed with Director and copy provided. An exit interview was conducted. Appeal rights were issued and discussed. Upon receipt of Type A citations, facility shall post and provide copies of the LIC 809D for parents/guardians of children currently in care and for parents/guardians of newly enrolled children for the next 12 months. Facility must also keep the signed Acknowledging Receipt of Licensing Reports (LIC 9224) in each child's file. Notice of Site Visit issued and must remain posted for 30 day.

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 - MACK (INF)
FACILITY NUMBER: 343603018
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/11/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/12/2020
Section Cited

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101416.5 Staff-Infant Ratio
(b) There shall be a ratio of one teacher for every four infants in attendance.This requirement was not met as evidence by; Upon arrival LPA observed 10 infants being supervised by 2 staff members.
This is a violation that if not corrected poses and immediate health and safety risk to the children in care.
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Plan of correction wil be sumbmitted to LPA by the end of the day. A second inspection will be conducted to verified correction.

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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: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:
DATE: 02/11/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/11/2020
LIC809 (FAS) - (06/04)
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