430709960-2-14-2020-52-CC-MMEA-BLSS57-20200214123351

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430709960
Report Date: 02/14/2020
Date Signed: 02/14/2020 12:33:57 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	430709960
ADMINISTRATOR:	EVELYN CARRILLO		FACILITY TYPE:	840
ADDRESS:	860 N. HILLVIEW DRIVE		TELEPHONE:	(408) 263-0444
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY:	24	CENSUS: 0	DATE:	02/14/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Evelyn Carrillo		TIME COMPLETED:	12:45 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) Mayla Mendoza and Manel Estoesta met today 2/14/20 with Director Evelyn Carrillo for a required 1 year inspection. LPAs toured the facility and play yard for a health and safety inspection. This facility has an infant and preschool age component on site. No school age children were present today. The classroom(s) and play yard were age appropriate and in good repair. Bathrooms were clean and in working order. There is a separate staff bathroom. Snacks are provided and prepared on site. The kitchen area was maintained in a clean manner and was inaccessible to children in care. Menus were posted. There is adequate variety and quantity of foods to meet the children's needs. Waste containers have tight fitting lids. Firearms and other weapons are not being stored on the premises. All posting requirements are being met. Outdoor play area was free of hazards and provided a shaded area for the children and access to drinking water. Play ground equipment is cushioned with tan bark that absorbs a fall. There are no bodies of water. The facility has a carbon monoxide detector, charged fire extinguishers and first aid kits. Fire and disaster drills are being conducted monthly. There is a working telephone at the facility. Medications, when dispensed, are inaccessible to children and follow the IMS Plan of Operation. This facility plans to provide Individual Medical Services – IMS. A Plan of Operation that includes IMS must be submitted to the Department. 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.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
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: 430709960
	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

A REVIEW OF STAFF RECORDS ON 02/14/20 INDICATES THAT ALL FACILITY STAFF OR OTHER INDIVIDUALS WHO REQUIRED CAREGIVER BACKGROUND CHECKS HAVE RECEIVED CRIMINAL RECORD AND CHILD ABUSE INDEX CLEARANCES OR EXEMPTIONS.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements was discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

As a result of this inspection, there are no deficiencies cited during today's inspection. An exit interview was conducted and a site visit notice was posted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
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