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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483001837
Report Date: 08/07/2023
Date Signed: 08/07/2023 04:37:38 PM


Document Has Been Signed on 08/07/2023 04:37 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001837
ADMINISTRATOR:CANARIOS, ROSEFACILITY TYPE:
830
ADDRESS:35 ROTARY WAYTELEPHONE:
(707) 557-3007
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY:36CENSUS: 17DATE:
08/07/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Donje Fields - Center DirectorTIME COMPLETED:
02:20 PM
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Licensing Program Analyst (LPA), Melchisedeck Augustin conducted a Plan of Correction (POC) visit to verify the facility's staff-infant ratio. As a result of a substantiated complaint investigation, the facility was cited a type A citation because three staff were providing care and supervision for 18 infants on 05/17/23 at 8:54am. On 06/30/23, the facility submitted a written plan which detailed that staff received information on the ratio requirements and moving forward, staff are to notify management via walke talkies or telephone if the classroom is one child away from reaching the ratio of 1:4. Furthermore, staff would request for families to wait until additional staff arrived, and staff would not accept additional children in the classroom to prevent further violation(s) of ratio requirements, and in the event that multiple staff called off, there were two Center Directors on standby to provide support.


During today's visit, LPA observed one teacher and Aide providing care for eight children in the Infant classroom, and one Aide supervising nine children napping in the Toddler class. According to LPA's observations, the facility was in compliance with requirements of staff-infant ratio of California of Regulations 101416.5.

Exit interview conducted and report was reviewed with the facility Center Director, Donje Fields. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. There were no violation(s) of the California Code of Regulations, Title 22; Division 12, observed during today's visit.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:
DATE: 08/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/07/2023
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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