013415772-3-11-2022-52-CC-MOTI-CCEUVW-20220311145548

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013415772
Report Date: 03/11/2022
Date Signed: 03/11/2022 02:55:54 PM

Document Has Been Signed on 03/11/2022 02:55 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	013415772
ADMINISTRATOR:	WOOLSEY, SIERRA		FACILITY TYPE:	850
ADDRESS:	11925 AMADOR VALLEY COURT		TELEPHONE:	(925) 875-0400
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY:	108	CENSUS: 63	DATE:	03/11/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:36 PM
MET WITH:	Scott Kinser		TIME COMPLETED:	03:05 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	A Case Management Visit was conducted on this date 3/11/2022 by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with Assistant Center Director, Scott Kinser. Also present with the Assistant Director were 18 additional staff members and 63 preschool aged children. The center has submitted an application for an increase in capacity from 108 preschoolers to 132 preschoolers. In addition, the center is also adding a room which currently serves as the School Age room. The additional room will serve as a preschool room until School Age Children arrive. If there is at least 1 school age child present the preschool program will decrease their capacity to 108 children. Hours of operation are from 6:30am - 6:30pm, Monday through Friday. Most children were napping upon arrival. A health and safety inspection was conducted inside and outside. The following are the measurements: INDOORS: 4867.04 square feet = 139 children OUTDOORS: 11683.76 square feet = 156 children Per Assistant Director, opening and closing staff have current CPR/FA. Playground equipment is in good condition. Drinking water is available inside and outside. All toilets and hand washing facilities are in safe and sanitary operating conditions. Menus are posted. Breakfast/Lunch and Snacks are provided and prepared on site. There is adequate variety and quantity of foods to meet the children's needs. The storage of napping equipment was observed. The sign in and out logs were reviewed. Facility has a functioning carbon monoxide detector. This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. 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.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

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: 013415772
	VISIT DATE: 03/11/2022

NARRATIVE

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A review of staff records on 3/11/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The center has obtained an approved fire safety inspection from the Dublin Fire Prevention Services on 1/28/2022. All licensing required documents are posted.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

Zero Tolerance policies were explained. Notice of Site Visit form was provided and posted.
The center was found to be clean, safe, sanitary and in good repair.

There are no deficiencies cited during this visit. A license for 132 preschool aged children will be issued effective today's date, 3/11/2022 Director is aware that preschool capacity must drop to 108 when school aged children are present.

An exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

LIC809 (FAS) - (06/04)

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