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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400335
Report Date: 01/10/2024
Date Signed: 01/12/2024 02:00:09 PM


Document Has Been Signed on 01/12/2024 02:00 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
434400335
ADMINISTRATOR:MARGARITA CORRALFACILITY TYPE:
830
ADDRESS:1081 FOXWORTHY AVENUETELEPHONE:
(408) 265-7380
CITY:SAN JOSESTATE: CAZIP CODE:
95118
CAPACITY:48CENSUS: 35DATE:
01/10/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Reyna ReyesTIME COMPLETED:
04:35 PM
NARRATIVE
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Licensing Program Analyst (LPA), Farida Raja, conducted an unannounced case management inspection. LPA met with Assistant Director, Reyna Reyes.

LPA was on site to deliver findings for a complaint investigation for another facility number. Based on eleven (11) random staff files reviewed five (5) staff do not have the required 12 early childhood education units to be fully qualified teachers which places the classrooms out of ratio.

In areas that were evaluated, regulatory violations were observed. Type A deficiencies were cited today on the attached LIC 809D page. Appeal rights and LIC 9224 were printed and given to assistant director. Due to the issuance of a Type A citation during today's inspection, a copy of this Licensing Report must be given to each existing parent by the end of today or next day child is in care, and to any newly enrolled parents/guardians enrolled over the next 12 months from the date of this report. In addition, a copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports must be signed by each parent and kept in each child's file. LPA reminded Licensee that failure to correct deficiencies by Plan of Correction Due Date may result in penalties of $100 per day per violation.

Exit interview was conducted with Assistant Director, Reyna Reyes.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida RajaTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:
DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/10/2024
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


Document Has Been Signed on 01/12/2024 02:00 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131


FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434400335

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/11/2024
Section Cited
CCR
101416.2(c)(1)

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101416.2 Infant Care Teacher Qualifications and Duties (c)To be a fully qualified infant care teacher... shall have the following: (1) Completion... of 12 postsecondary semester...at an accredited or approved college or university.
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Assistant Director will submit a written plan of correction by POC Date of 01/11/2024.
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This requirement is not met as evidenced by: Based on interviews and record reviews, LPA learned that five staff do not meet the minimum requirements for qualifications.This poses an immediate risk to the health, safety and personal rights of children in care.
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Type A
01/11/2024
Section Cited
CCR101416.5(b)

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101416.5 Staff-Infant Ratio
(b) There shall be a ratio of one teacher for every four infants in attendance.

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Assistant Director will submit a written plan of correction by POC Date of 01/11/2024.
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Based on interviews and record reviews, LPA learned that five staff do not meet the minimum requirements for qualifications which places the classrooms out of ratio.This poses an immediate risk to the health, safety and personal rights of children in care.
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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: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida RajaTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:
DATE: 01/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/10/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2