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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001398
Report Date: 09/10/2019
Date Signed: 09/10/2019 12:19:57 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: 59DATE:
09/10/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Dina "Mimi" SchmalzTIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Faye Bremer, conducted an unannounced Plan of Correction (POC) inspection, for deficiencies cited on August 28, 2019. LPA met with Administrator Dina "Mimi" Schmalz and explained purpose of inspection.

LPA toured the physical plant to inspect the laundry closet and the cabinets in the hallway containing disinfectants and cleaning products. LPA observed the laundry closet to be locked, as well as the cabinets in the hallway to be locked.

Deficiency was cleared during inspection.

Report reviewed and provided to Dina "Mimi" Schmalz
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye BremerTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2019
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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