434400334-8-15-2019-07-CC-MMAR-BF3UDQ-20190815152954

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400334
Report Date: 08/15/2019
Date Signed: 08/15/2019 03:30:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	434400334
ADMINISTRATOR:	LYNDA NGUYEN		FACILITY TYPE:	850
ADDRESS:	3320 SAN FELIPE ROAD		TELEPHONE:	(408) 270-0980
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95135
CAPACITY:	81	CENSUS: 48	DATE:	08/15/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Lynda Nguyen		TIME COMPLETED:	12:00 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 08/15/19 Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Annual inspection of Kindercare Learning Center - Day Care program today. LPA met with Director, Lynda Nguyen and explained the purpose of today's visit. Facility’s License, Parents’ Rights Poster, Personal Rights, Activity Schedules, and Menus were observed to be posted. Facility's operating days and hours are Monday to Friday 6:30 AM to 6:00 PM in three rooms - 2-3 year olds (Early Discovery): 14 children, 2 fully qualified teachers 3-4 year olds (Preschool): 11 children, 1 fully qualified teacher 4-5 year olds (Pre-K): 18 children, 2 fully qualified teachers Facility was in compliance with staff to child ratios during today's inspection. The physical plant was inspected. LPA toured the building with the Director. Indoor space: The classrooms, restrooms, pantry, storage room, and office area were inspected. Children were engaged in various activities under the visual supervision of the teachers. Disinfectants, cleaning solutions, and other items that are dangerous to the health and safety of children were stored in places inaccessible to them. Cabinets, drawers, and rooms used for storage were locked. Rugs in all rooms were observed to have large stains and dirty spots. Director stated carpet cleaning was done a few weeks ago but there is need for deep cleaning to remove set in stains and get rid of old dirty rugs. Flooring in the Pre-K restroom was observed to be unhinged and ripping off around the drain area, making it a tripping hazard. Dark water stains were observed around the toilets (Citations on 809-D page) Foods and beverages were stored safely. Food storage area were clean, free of litter, rubbish, and rodents/vermin. Trash cans for solid waste had tight-fitting covers on and were in good repair. Director stated that facility does not possess nor store any weapons on the premises. LPA observed a 3A40BC Fire extinguisher, Smoke and Carbon Monoxide Detectors, fire pull stations, and sprinkler system. Log shows that the last Fire Drill was conducted on 08/14/19. Facility does provide transportation for children, and Director understands that children cannot be left alone, unattended in parked vehicles. Continued on Page 2. Report dated 08/15/19

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019

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 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 434400334
	VISIT DATE: 08/15/2019

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

Beginning January 1, 2019 AB2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families. LPA provided a copy of the “Lead Poisoning Facts Information Flyer” to the facility.
LPA reminded Director of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license, and who come in contact with or provide care and supervision to the children. For an initial violation, civil penalty amounts to $100.00 per person per day with a maximum of $500.00 per person. For a subsequent violation within a 12-month period, civil penalty amounts to $100.00 per person per day with a maximum of $3000.00 per person.

LPA also reviewed with Director the violations that would result in an immediate assessment of civil penalty in the amount of $500. Director is encouraged to visit the Department’s website at www.cdss.ca.gov to access resources for Providers, Title 22 Regulations, Online option to pay Annual License fee, Adoption of new Laws, etc.

In the areas that were evaluated, regulatory violations were observed. Therefore, citations were issued. Exit Interview was conducted, where this report, the citations, plan of corrections, and appeal rights were reviewed and discussed with Director. Report was signed by the Director confirming receipt of documents. Director was informed that failure to correct the deficiencies by the specified Plan of Correction Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 434400334
	VISIT DATE: 08/15/2019

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

Outdoor Space: Outdoor playground was inspected and observed to be safe. The play equipment was maintained in good condition and free of hazards. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. There were no bodies of water observed. Drinking water is arranged to be readily available to children during indoor and outdoor activities. LPA observed that Early Discovery room (ages 2-3 year olds) use the Infant Play Yard. Director stated that they do so because the infant play structure and equipment is more age appropriate and suitable instead of that in the preschool play yard. She assured that infant/toddler and preschool room have different outdoor schedules and never commingle outdoor. LPA advised they submit a Waiver request to CCLD for preschool room to allow using infant play yard and explain reason/s why they should do so.
File Review: Children sign in and out procedures and logs were reviewed. A sampling of 15 Children's files and Staff files for those present in the Center today was taken for review. All child files contained Identification & Emergency Information, Medical assessments and staff files contained Health Screening report LIC503 and medical assessments. There was at least one Teacher with current certification in Pediatric CPR and First Aid present at the facility during inspection. Children's Roster was reviewed, and a copy obtained.
Director stated that facility does handle medications and currently have children in care who require Incidental Medical Services. Facility will submit an IMS Plan to San Jose Regional Office for approval. LPA reviewed storage of medication and equipment / supplies. Isolation of sick child was discussed, and Director explained that a sick child is brought to the office area to be isolated from other children. An adult restroom is used if necessary. Child is always under visual supervision while being cared for.
For IMS information, see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.
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.

Continued on Page 3. report dated 08/15/19

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 434400334
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/15/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/15/2019 Section Cited CCR 101239(e)(4)	1 2 3 4 5 6 7	101239(e)(4) Fixtures, Furniture, Equipment & Supplies: All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition [...]. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	By POC Due Date Director agreed to have the entire restroom flooring renewed. A work order was put in by the Director during the inspection. Director agreed to send photos of new flooring to CCLD upon completion of work. Director gave LPA a copy of the work order.
	8 9 10 11 12 13 14	By LPA's inspection, Pre-K restroom's flooring was unhinged and ripping off around the drain area. There were water stains around the base of toilets. This poses a potential risk to the health and safety of children.	8 9 10 11 12 13 14
Type B 10/15/2019 Section Cited CCR 101638.1(e)(2)	1 2 3 4 5 6 7	101638(e)(2) General Sanitation: Carpeted floors and large throw rugs that cannot be washed shall be vacuumed at least daily and cleaned at least every six months, or more often if necessary. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	By POC Due Date Director agreed to have all rugs deep cleaned or replaced. A work order was put in by the Director during the inspection. Director agreed to send photos of cleaned rugs to CCLD upon completion of work. Director gave LPA a copy of the work order.
	8 9 10 11 12 13 14	Per LPA's inspection, area rugs in all all preschool rooms had large set in stains and unclean spots. Director stated rugs were cleaned recently but they need to be deep cleaned or replaced. This poses a potential risk to the health and safety of children.	8 9 10 11 12 13 14

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019

LIC809 (FAS) - (06/04)

Page: 4 of 4