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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001398
Report Date: 08/28/2019
Date Signed: 08/28/2019 12:23:25 PM

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 CENTER LLC (PS)FACILITY NUMBER:
414001398
ADMINISTRATOR:SCHMALZ, DINA (MIMI)FACILITY TYPE:
850
ADDRESS:1350 WAYNE WAYTELEPHONE:
(650) 577-0257
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY:70CENSUS: 63DATE:
08/28/2019
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Mimi SchmalzTIME COMPLETED:
12:30 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Faye Bremer and Jyoti Saini conducted an unannounced Case Management Annual Continuation inspection. LPAs met with Director Mimi Schmalz and explained purpose of inspection. There were 19 children present in the 2's room with 2 teachers, 20 children present in the PreK room with 2 teachers, 12 children present in the 3's room with 1 teacher, and 12 children present in the Kindergarten room with 1 teacher during LPAs' inspection.

LPAs toured and inspected the physical plant for health and safety hazards. This facility does not have any open bodies of water. Disinfectants were found unlocked and accessible to children in the 2's Classroom, under the changing table. Cots were observed to be clean and stored appropriately, and classroom is equipped with sufficient age appropriate toys and furniture. Emergency exits and passageways were clear of hazards. LPAs observed bleach to be accessible in unlocked Laundry closet, and with key stored on the door handle. Mens shaving cream and furniture polish were found to be stored in unlocked cabinets in hallway.

LPAs reviewed staff and children's files. Staff have required training, units, and forms on file. LPAs reviewed 9 children's files. All children's files reviewed have all required forms, agreements and assessments on file.

Deficiency cited today under California Code of Regulations, Title 22, Div 12, follows on LIC 809D
Appeal Rights given.
Report reviewed and discussed with Mimi Schmalz.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye BremerTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019
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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: KINDERCARE LEARNING CENTER LLC (PS)
FACILITY NUMBER: 414001398
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/28/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/29/2019
Section Cited

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Buildings and Grounds - Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. Storage areas for poisons shall be locked.
This requirement is not met as evidenced by:
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Based on observations, disinfectant was stored unlocked in classroom, furniture polish and mens shaving cream was stored unlocked in hallway, bleach was stored in unlocked laundry closet. Licensee failed to ensure that disinfectants and cleaning solutions are locked and inaccessible to children, which poses an immediate Health and Safety threat to children in care.
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POC to be received in CCLD office BY 08/29/2019

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye BremerTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 08/28/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/28/2019
LIC809 (FAS) - (06/04)
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