434400343-10-19-2021-52-CC-MESA-C7XUFD-20211019153234

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400343
Report Date: 10/19/2021
Date Signed: 10/19/2021 03:34:13 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:	434400343
ADMINISTRATOR:	FARAHNAZ HASHEMI-TE		FACILITY TYPE:	830
ADDRESS:	400 SOUTH ABEL		TELEPHONE:	(408) 263-7212
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY:	36	CENSUS: 23	DATE:	10/19/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	DIRECTOR FARAHNAZ TEHRANY		TIME COMPLETED:	03:00 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 Tuesday, October 19, 2021 at 9:30 am, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Required One (1) Year visit. LPA met with the DIRECTOR FARAHNAZ TEHRANY and explained the nature of the site visit. Present on this visit were 7 staff and 23 infants. Facility also has an active Preschool License number 434400345 in the same facility address. Facility operates from Monday to Friday 8am to 5pm. LPA toured the facility to conduct a Health and Safety Inspection with the Director. The facility is within ratio and capacity compliance today. This program operates in the Room One (1) and Room Two (2) classrooms. All classrooms were inspected for age appropriate furnishings, equipment, and adequate storage for children’s belongings. LPA observed the cleanliness of floors and surfaces, the presence of working carbon monoxide detector, smoke detectors/fire alarms and a fully charged required fire extinguisher size that is accessible in each classroom. Facility were inspected by Milpitas Fire Department Permit dated 06/28/2021. LPA observed the changing tables to be within arms reach of the sink. The outdoor play area is fully fenced and separate from the Preschool outdoor play area. There is padding under/around the climbing equipment. The play structures appear to be fully intact with no visual defects or concerns. There are no pools, hot tubs or other accessible bodies of water. Cleaning supplies/toxins are stored inaccessible to children. All required postings are present. The facility provides breakfast, lunch and snacks, menu is also posted. Facility also allows children to bring their own milk formula, lunch and snacks. LPA reviewed storage of food and reminded director that all food must be in original packaging or labeled with expiration date. 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: 10/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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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: 434400343
	VISIT DATE: 10/19/2021

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LPA reviewed storage medication and medical supplies and is inaccessible to the children as well as LPA reviewed infant sleep logs. Per director, there are no firearms present on the premises.

A copy of the facility personnel and children’s roster, Sign In and Out documentation was obtained. LPA reviewed the file of 5 children enrolled in the program and 5 staff members files, who are fingerprint cleared and associated, completion of Mandated Reporter training as well as proof of immunization's. All staff have current CPR/First Aid certificates, and proof of education and/or experience was also present.

The center also conducts and documents fire and earthquake drills once every month and the logs show that drills were last conducted September 2021. The Director was reminded that baby bouncers, exersaucers, johnny jumpers and similar items are not allowed in licensed day care.

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 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

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/inspection-process.

Facility representative 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.

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: 10/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: 434400343
	VISIT DATE: 10/19/2021

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LPA discussed to the Director the PIN 21-21-CCP RELEASE OF THE WRITTEN DIRECTIVES FOR LEAD TESTING OF WATER IN LICENSED CHILD CARE CENTERS PER AB 2370

Santa Clara County Office of Education Childcare Resource & Referral Program Email: childcarescc@sccoe.org Phone: 669-212-KIDS (5437) Hours: Monday – Friday 8:30 a.m.– 4:30 p.m. https://www.childcarescc.org/child-care-application

For questions about registration or your stipend, please call 1-833-398-1399 Hours of operation are 6:00am – 6:00pm CST email: ARPASurvey@cde.ca.gov

LPA discussed the safe sleep regulations with the facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

After a complete inspection of the facility, there are no deficiencies cited today.

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

Exit interview conducted and report was reviewed with the facility representative, DIRECTOR FARAHNAZ TEHRANY.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021

LIC809 (FAS) - (06/04)

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