430709779-4-21-2022-52-CC-MESA-CDPPVP-20220421113929

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430709779
Report Date: 04/20/2022
Date Signed: 04/21/2022 11:39:36 AM

Document Has Been Signed on 04/21/2022 11:39 AM - It Cannot Be Edited

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:	DATE:	04/20/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Director Tania Trejo		TIME COMPLETED:	02:00 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 Wednesday, April 20, 2022 at 9 am, Licensing Program Analyst’s (LPA) Manel Estoesta conducted an unannounced Required One (1) Year Visit. LPA met with the Director Tania Trejo and explained the nature of the site visit. Present on this visit were 7 staff member and 53 preschool children. The facility operates Monday to Friday from 7:30 am to 5:30 pm. LPA toured the facility to conduct a health and inspection with the Director. The facility has an infant and school age component on site. Facility follows the posting regulatory requirement. The facility is currently operating in the Two's Classroom, Preschool Classroom and Pre-K Classroom. Restrooms for children to use in each room were observed to be in safe and sanitary operating conditions. There were no bodies of water observed. Director stated that facility do not have weapons on the premises. Furniture and equipment were in good condition, free of sharp, loose, or pointed parts. The facility prepares and provides meals and snacks for the children. LPA observed and reviewed the Menus. The kitchen, food-preparation and storage areas were observed in clean and free of litter and rubbish and the facility have measures taken to keep all such areas free of rodents and other vermin. Floors were clean and safe, and outdoor activity space were free of hazards. Disinfectants, cleaning solutions, poisons, and other items that are dangerous to children were stored inaccessible to children. Outdoor activity space is fenced and play equipment were maintained in a safe condition and free of hazards. There were shaded rest areas for children. Drinking water is arranged to be readily available for children in care. LPA observed a fully fire extinguisher, First Aid Kit, and smoke and carbon monoxide detectors. Milpitas Fire Department Permit expires on 12/31/2022. Fire and Disaster drill was last conducted in March 2022. SEE 809 C.....

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022

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: 04/20/2022

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

Continuation....

A sampling of children's files was selected for review. LPA reviewed the signed LIC 9224 for the 02/23/2022 visit. A sampling of Staff files was selected for review. LPA reminded the Director that only the Influenza vaccination can be decline with a written declination LPA also reminded the Director that AB 1207 has a 2-year renewal requirement. Most of the Staff member has a current CPR and First Aid Training Certificate.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the Guardian User Information, PIN 21-21-CCP and PIN 22-10-CCP. LPA obtained copies of the facility's Children Roster, Staff Roster and IMS plan. There are no deficiencies cited on this visit.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director Tania Trejo.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2