434408010-6-6-2019-07-CC-MMOO-BCVMP6-20190606094637

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434408010
Report Date: 06/05/2019
Date Signed: 06/06/2019 09:46:42 AM

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:	434408010
ADMINISTRATOR:	TRABANINO, CATHERINE		FACILITY TYPE:	850
ADDRESS:	1515 S. DE ANZA BLVD		TELEPHONE:	(408) 861-9510
CITY:	CUPERTINO	STATE: CA	ZIP CODE:	95014
CAPACITY:	104	CENSUS: 62	DATE:	06/05/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Catherine Trabanino		TIME COMPLETED:	12:30 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 Analyst (LPA), Marilou Monico, met with Site Director, Catherine Trabanino, and conducted a case management inspection in response to licensee's request to decrease the capacity from 104 to 100 children and removing Two's 1 Room on the license. LPA toured the facility both inside and outside. The following measurements were taken by LPA Clifford on December 21, 2004: PRESCHOOL (FOUR'S) 1: 32.747 x 29.913 = 979.561 minus 189.972 (encumbered space) = 789.589 PRESCHOOL (FOUR'S) 2: 32.000 x 26.249 = 839.968 minus 30.256 (encumbered space) = 809.712 THREE'S: 35.083 x 28.249 = 991.059 minus 108.104 (encumbered space) =882.955 TWO'S 2: 26.747 x 25.249 = 675.335 minus 85.761 (encumbered space) = 589.574 FITNESS CENTER: 21.747 x 21.000 = 456.687 TOTAL PRESCHOOL INDOOR SPACE: 3528.517 divided by 35 = 100 children PRESCHOOL PLAYGROUND 67.913 x 62.083 = 4216.242 44.332 x 30.332 = 1344.678 Preschool Yard: 5560.920 TWO'S PLAYGROUND 44.415 x 32.747 = 1454.458 32.498 x 28.166 = 915.338 Two's Yard: 2369.796 TOTAL PRESCHOOL OUTDOOR SPACE: 7930.716 sq. ft. divided by 75 = 105 children REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 06/05/19):

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou Monico	TELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 434408010
	VISIT DATE: 06/05/2019

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 06/05/19):

There are 8 toilets (120) and 10 sinks (150) for the children. There are two staff bathrooms. The staff bathroom located in the Reception Area will be utilized by the sick children if needed. The sick children will be isolated in the Director's office and isolated equipment is provided. Cleaning supplies are stored in a locked upper cabinet in each room. There is a kitchen at the facility for food preparation and is equipped with hot and cold running water, refrigerators, microwave, stove, oven, and dishwasher. There are solid waster containers throughout the facility for the disposal of solid waste. LPA observed sufficient cubbies, tables, chairs, and cots for the daycare children. Drinking water indoor is via individual water bottles and fountains.

The preschool program has two yards. The playgrounds are surrounded with appropriate fencing and the outdoor surfaces are safe. Each yard has climbing structures with rubber foam for resilient material. Shade is provided by canopies and trees. Drinking water outdoor is via drinking fountains. LPA observed no bodies of water.

Fire clearance was granted on May 15, 2019.

As a result of this inspection, a license for 100 preschool children will be approved upon receipt of the following:
1) Complete paperwork for licensee representative, Jennifer Liu: Applicant Information (LIC 215), Criminal Record Statement (LIC 508), Statement Acknowledging Requirement to Report Suspected Child Abuse (LIC 9108), Health Screening (LIC 503) with TB test, Proof of immunization in measles, pertussis, and influenza, Mandated Reporter Training certificate, and Proof of Orientations (Application and Operations/Record Keeping.

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou Monico	TELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019

LIC809 (FAS) - (06/04)

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