<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004173
Report Date: 08/28/2019
Date Signed: 08/28/2019 12:22:31 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 (INF)FACILITY NUMBER:
414004173
ADMINISTRATOR:DINA SCHMALZ (MIMI)FACILITY TYPE:
830
ADDRESS:1350 WAYNE WAYTELEPHONE:
(650) 577-0257
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY:32CENSUS: 21DATE:
08/28/2019
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Mimi SchmalzTIME COMPLETED:
12:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
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 7 infants with 2 teachers, 14 toddlers present with 4 teachers upon LPAs' inspection.

LPAs toured and inspected the physical plant for health and safety hazards. This facility does not have any open bodies of water. All toxins were stored locked and inaccessible. Bottles were observed to be labeled and stored appropriately. Cribs and cots were observed to be clean, and classroom furniture was observed to be age appropriate. Infant program has separate, fenced off outdoor play space, with sufficient padding around equipment.

LPAs reviewed staff and children's files. Staff have required training, units, and forms on file. LPAs reviewed all infants files, and 4 toddler files. All children's files reviewed have all required forms, agreements, plans and assessments on file.

No deficiencies cited during today's inspection.
Report reviewed and provided to 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)
Page: 1 of 1