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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410517739
Report Date: 01/02/2020
Date Signed: 01/02/2020 10:14:36 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
410517739
ADMINISTRATOR:ENGRAM, REBECCAFACILITY TYPE:
830
ADDRESS:1006 METRO CENTER BLVDTELEPHONE:
(650) 573-6023
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY:52CENSUS: DATE:
01/02/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Assistant Director, Janice KnightTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Kassandra Medrano met with Assistant Director, Janice Knight for an unannounced Case Management Inspection. The purpose of the inspection was to discuss an unusual incident that occurred on November 14, 2019; which was reported to the department by the center.

On the day mentioned above, the Infant Room B was transitioning to combine with Infant room A. One staff was left with one infant in room B. While two other staff member stayed inside with 6 infants in room A. When staff stepped out to speak to a parent, a teacher called out to the staff member and found infant sleeping unattended in the room. When staff came back into the infant room, the teachers who were in the room informed the staff member of what happened. Management was immediately informed, and teacher was reprimanded and received training on supervision on 11/18-20/2019.

Based on information available, the incident resulted in absence of supervision because the child was left without visual supervision of a teacher. Facility instantly responded to situation and properly handled and reprimanded teacher. Because of this no deficiencies were cited today. Discussions were had about preventing supervision issues, facility stated they would have more training to prevent this from happening again.

SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra MedranoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2020
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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