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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483001838
Report Date: 02/12/2021
Date Signed: 02/12/2021 01:15:22 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001838
ADMINISTRATOR:CANARIOS, ROSEFACILITY TYPE:
850
ADDRESS:35 ROTARY WAYTELEPHONE:
(707) 557-3007
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY:72CENSUS: 0DATE:
02/12/2021
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Rose Canarios (CD) & Melanie DeMarchi (DL)TIME COMPLETED:
11:25 AM
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An informal conference was conducted today, 2/12/2021 at 10:00 am, by Licensing Program Manager (LPM), Leslie Lepori, Licensing Program Analyst (LPA), Melchisedeck Augustin with District Leader (DL), Melanie DeMarchi and Center Director (CD), Rose Canarios. Due to the COVID-19 pandemic, the informal conference transpired via tele-conference. The parties discussed several items including, but not limited to the following:

· Concerns of recent substantiated complaint allegation findings: unreported incidents; not informing parents of injuries/incidents; lack of supervision and/or staff experience resulting in injuries; yelling/raising voice at children in violation of children’s personal rights
· Recent COVID inquiries: concerns addressed regarding compliance with CCL/local public health COVID guidelines including masks, taking temperatures; continuous cleaning of facility/items; reporting positive cases to parents, CCL, local public health
· Change of facility directors: reporting requirements per regulation 101212; submitting notification and director qualifications to CCL to update records; board resolution giving authority to designated individual to complete, sign, and submit documents including increase in capacity application and waiver attestation
· Clarification on facility’s request for increase in capacity or waiver: withdraw or changes to the increase in capacity application; waiver request to provide childcare services to school age in separate classroom; school age application
· Technical Support Program: provides resources to assist with understanding statutory and regulatory requirements to achieve further compliance

The parties acknowledged the concerns of recent substantiated complaint findings, the facility has begun to take positive steps to address the concerns including additional training for staff on supervision, reporting requirements, and children’s personal rights. The parties understood they are required to notify and submit a Director packet to the Department within 10 days of a Director change. (Continue to LIC 809-C)
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2021
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,
, CA
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001838
VISIT DATE: 02/12/2021
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DL and CD agreed to submit a board resolution that designates the acting agent on behalf of the corporation and written requests to withdrawal the preschool’s pending increase in capacity application and waiver request. The facility will maintain its current preschool capacity with the addition of a classroom in which CCL will obtain an updated fire clearance. DL and CD expressed commitment to comply with the CDPH guidance and the Department’s COVID-19 Updated Guidance which was provided to the Director. Parties agreed to participate in the Department’s Technical Support Program (TSP).

Parties were advised of possible increased monitoring to ensure compliance, and that further non-compliance issues could result in Non-Compliance Conference (NCC). All licensing reports are public information and must be made available upon request for at least three years. DL and CD’s signatures were not recorded on this Facility Evaluation Report (FER), however; this FER was provided to DL and CD, and the parties’ confirmation of read receipt is on file.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melchisedeck AugustinTELEPHONE: (707) 494-4918
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2021
LIC809 (FAS) - (06/04)
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