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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393603299
Report Date: 03/09/2023
Date Signed: 03/09/2023 01:56:06 PM


Document Has Been Signed on 03/09/2023 01:56 PM - It Cannot Be Edited

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 - GRANTLINEFACILITY NUMBER:
393603299
ADMINISTRATOR:EVA PRADOFACILITY TYPE:
850
ADDRESS:265 WEST GRANT LINE ROADTELEPHONE:
(209) 835-9247
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:120CENSUS: 74DATE:
03/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Eva PradoTIME COMPLETED:
02:15 PM
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On March 9, 2023, Licensing Program Analyst (LPA). met with Director, Eva Prado to follow up on the Unusual Incident Reports (UIR) submitted to Community Care Licensing on February 8, 2023.

LPA toured the facility, observed the care and supervision of children, reviewed records and conducted interviews.

Facility evaluation report was reviewed and discussed with Director, Eva Prado. Exit interview was conducted. A Notice of Site Visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

In the areas that were evaluated, no deficiencies were cited during today's inspection .
SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2023
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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