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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603018
Report Date: 09/09/2021
Date Signed: 09/09/2021 03:53:14 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: 3DATE:
09/09/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Paula Ritter & Jessica TurnerTIME COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with facility representative, Paula Ritter, for a case management inspection. The facility self reported that a child in Toddler classroom has been tested positive for COVID-19.

During today’s inspection, LPA observed the facility has closed the classroom. Per facility representative, the classroom has been closed since September 07 and will remain closed until September 16, 2021. Per facility representative, the classroom will be sanitized before being used. Per facility representative, all parents and local health department have been notified. Paula showed the confirmation letter from local health department of receiving the information from the facility.

During the inspection, no violation of any regulation was observed. 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 MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (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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