430709779-2-14-2020-52-CC-MESA-BLSS4A-20200214123225

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430709779
Report Date: 02/14/2020
Date Signed: 02/14/2020 12:38:11 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	430709779
ADMINISTRATOR:	EVELYN CARRILLO		FACILITY TYPE:	850
ADDRESS:	860 N. HILLVIEW DRIVE		TELEPHONE:	(408) 263-0444
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY:	87	CENSUS: 54	DATE:	02/14/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	EVELYN CARILLO		TIME COMPLETED:	01:00 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	On 02/14/2020, Licensing Program Analyst’s (LPA’s) Manel Estoesta and Mayla Mendoza met with the EVELYN CARILLO for a an unannounced Required 1 Year Inspection. There were 8 staff and 47 preschool children present during the inspection. Facility has two other component, INFANT Program #430709778 and SCHOOL AGE Program # 430709960. The facility operates Monday to Friday from 06:30 AM to 06:00 PM. Furniture and equipment were observed to be in good condition, free of sharp, loose, or pointed parts. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the visit. The toilets and sinks were in operable condition. The floors were free of tripping hazards. The kitchen/food preparation and storage areas were observed to be clean and free of evidence of rodents. Food is protected against contamination. All storage containers for solid waste have tight-fitting covers that are in good repair. Breakfast, lunch and snacks are provided and prepared on site. Drinking water is available both indoors and outdoors. Menus are posted and visible for parents to review. . The storage of napping equipment was observed. There are no pools or similar bodies of water at this facility. Firearms and other weapons are not being stored on the premises. All posting requirements are being met. Outdoor activity space and playground equipment was observed to be safe and free of hazards. Climbing equipment is properly anchored to the ground with adequate and appropriate cushioning material to absorb falls. Fire/Disaster drill are conducted at least once every six months. LPA's reviewed children and staff files during today's visit. Each child's file reviewed contains the Information and Emergency Information form (LIC 700). The staff files reviewed contains the required transcripts/verification of experience, immunization requirement, current CPR and First Aid certifications and Completion of Mandated Reporter Training. REPORT CONTINUED ON THE FOLLOWING PAGE (LIC 809 C)

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2020

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 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 430709779
	VISIT DATE: 02/14/2020

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
26
27
28
29
30
31
32

The facility is operating within its licensed capacity. The facility is within ratio today with one teacher supervising no more than 12 children. LPA’s did not observe any child left without visual supervision or unattended during the inspection. LPA’s verified both opening and closing staff have current CPR/First aid training. A physical census was taken of all children present and crossed referenced with the sign in and out sheets.

This facility provides Individual Medical Services and has updated the plan of operation. LPA's reviewed storage of medication and equipment/supplies. Medication, supplies and equipment of medication were in the original labeled container with the child’s name on it and were not expired. LPA's advised the facility to check the medication expiration date regularly, and return the expired medication to parents. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

The director understands that prior to working or volunteering in a licensed child care facility, all individuals subject to criminal record review shall obtain a clearance or criminal record exemption.

The director was encouraged to email ChildCareAdvocatesProgram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

There were no deficiencies cited during today’s inspection.

Exit interview conducted with Evelyn Carillo.

The director was provided a copy of the appeal rights.

Notice of Site visit was provided at the time of the inspection and must be posted for 30 days.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2