343603018-9-9-2021-03-CC-GSIH-C6PUDB-20210909152915

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343603018
Report Date: 09/09/2021
Date Signed: 09/09/2021 03:29:20 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 RITTER		FACILITY TYPE:	830
ADDRESS:	4920 MACK ROAD		TELEPHONE:	(916) 428-1880
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95823
CAPACITY:	36	CENSUS: 3	DATE:	09/09/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Paula Ritter		TIME COMPLETED:	10:30 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Gagandeep Singh met with facility representative, Paula Ritter, for an annual inspection. Purpose of the inspection was explained. Present, there are three children with one teacher and the director. Facility is operating with in the capacity and in compliance with staff child ratio on this day. Facility operate day care from Monday to Friday between 8 AM to 6 PM. With Paula, LPA inspected the day care classroom and play yard. There are no pools, spas or other bodies of water at the facility. Facility has smoke detector, carbon monoxide detector, fully charged fire extinguisher and working telephone at the site. All of the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored inaccessible to the children. All unused electrical outlets have child protective covers installed. Facility has age appropriate furniture. Furniture is steady and in good repair. Facility has sufficient amount of cribs. LPA observed only mattress in the crib and no other items. The facility has separation in place for crib area from the activity area. Facility floor is in good repair and free of any hazards. All storage containers for solid waste and in good repair and have proper lid on top. Facility has drinking water available for children. All milk bottles or formula bottles are stored in the refrigerator and labeled with child’s name and date. The bottle warmer is out of children’s reach. Facility has changing table within arm’s reach of sink. LPA observed proper sanitization in place around the diaper changing area. There is drinking water in play yard for children. Play yard is free of hazards. All of the play structures are steady, in good repair and free of any loose parts. There is sufficient amount of cushion material under the play structures to prevent any fall injuries. LPA observed that facility has sign in / out record with full legal signatures. Facility has license, parent’s rights poster, emergency disaster plan and other required documents posted and are visible for public. LPA reviewed present three children's and present staff's files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Each child's record contains medical assessment. See next page for continuation ............

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021

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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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
	VISIT DATE: 09/09/2021

NARRATIVE

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Continuation from previous page ..........

Facility is aware that a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles.

LPA reminded facility representative that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

No deficiencies are cited today. The copy of this report is reviewed and provided to the facility representative, Jessica Turner. Notice of site visit is posted and shall remain posted for next 30 days.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021

LIC809 (FAS) - (06/04)

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