393603299-12-20-2019-53-CC-SWIS-BK2QW3-20191220113116

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393603299
Report Date: 12/20/2019
Date Signed: 12/20/2019 11:31:20 AM

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 - GRANTLINE (PRESCHOOL)		FACILITY NUMBER:	393603299
ADMINISTRATOR:	POPE, MARIE SUSAN		FACILITY TYPE:	850
ADDRESS:	265 W. GRANTLINE ROAD		TELEPHONE:	(209) 835-9247
CITY:	TRACY	STATE: CA	ZIP CODE:	95376
CAPACITY:	120	CENSUS: 38	DATE:	12/20/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Amanda Faulkner		TIME COMPLETED:	11:40 AM

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Licensing Program Analyst (LPA) Stacey Williams met with Amanda Faulkner, Assistant Director for the purpose of an unannounced annual random inspection. LPA observed (38) children supervised by 4 staff. Criminal record clearances were verified.

LPA toured the facility inside and out for a health and safety inspection. All cleaning supplies and hazardous items are stored in a locked cabinet inaccessible to children. Outdoor activity space and equipment was in good repair. Restrooms were sanitary and in operating condition. Storage containers for solid waste had lids. Drinking water was readily available inside and outside. The facility utilizes a portable pitcher for outside water. The playground equipment and outdoor activity space is maintained and in good condition. Bark is being used as cushioning around the climbing equipment and level is sufficient to absorb a fall. Fire drills are conducted and documented. Carbon Monoxide and smoke detectors were present and operable.

Supervision for indoor activities was observed during the inspection. Capacity and ratio requirements were being met.

LPA reviewed children’s files during inspection and observed they included information pertaining to their authorized representative, consent for medical treatment and a medical assessment form. LPA reviewed a random sample of staff records which included a current CPR/First Aid, immunization records, mandated reporter completion certificate and documentation of the educational background, training, and/or experience.

Program provides breakfast, lunch, and afternoon snack. Menu was posted in the center. Food preparation area is clean, food is protected from contamination, and all food or beverages are stored in covered containers and labeled.

Report Continues on 809-C

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2019

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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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 - GRANTLINE (PRESCHOOL)	FACILITY NUMBER: 393603299
	VISIT DATE: 12/20/2019

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Incidental Medical Services (IMS) policy was discussed. The facility currently has children utilizing incidental medical services. A Plan of Operation is available in the facility file. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing 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.

No Title 22 deficiencies were observed in the areas that were evaluated today.

This facility evaluation report was reviewed and discussed with the Assistant Director. The implementation of AB 2370, lead exposure and proposed safe sleep regulations was discussed. Assistant Director was encouraged to the visit the departments website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers.

Exit interview conducted. A notice of site visit was provided and should remain posted for a period of 30 days for parental review. Appeal Rights provided.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2019

LIC809 (FAS) - (06/04)

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