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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401308
Report Date: 12/05/2024
Date Signed: 12/05/2024 04:07:14 PM

Document Has Been Signed on 12/05/2024 04:07 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
073401308
ADMINISTRATOR/
DIRECTOR:		PAMELA SOUZAFACILITY TYPE:
830
ADDRESS:4308 FOLSOM DRIVETELEPHONE:
(925) 754-3137
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY: 20TOTAL ENROLLED CHILDREN: 17CENSUS: 11DATE:
12/05/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Jamari FredenburgTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
NARRATIVE
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On 12/05/2024 at 2:30PM Licensing Program Analysts (LPA’s) Kareeca “Reeca” Sykes and Christina Watts conducted an unannounced case management inspection at KinderCare Learning Center. LPA’s met with Director Jamari Fredenburg and explained the purpose of this visit. During today’s inspection there were 11 infants children in care with 4 staff in one classroom. Director stated there were 17 infant students enrolled.

LPA’s were investigating an incident that occurred in the facility. During the investigation it was determined that a preschool classroom was using an infant play yard when an incident occurred and a child was injured. Per California Code of Regulation Title 22, all components are to have their own play yard and not to mix one components play yard with another. The facility is in violation of California Code of Regulation Title 22

LPA’s also discussed with Director what the needs are regarding the facilities play yards, the requirements of a waiver and to submit a waiver in a timely matter.

LPA’s Kareeca Sykes informed KinderCare Learning Center that this report dated (12/05/2024) documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care.

* *SEE LIC 809-D FOR DEFICIENCIES*

Exit interview conducted and report was reviewed with Director, Jamari Fredenburg. A Notice of Site Visit was given and must remain posted for 30 consecutive days.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2024
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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Document Has Been Signed on 12/05/2024 04:07 PM - It Cannot Be Edited


Created By: Kareeca Sykes On 12/05/2024 at 02:41 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401308

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/05/2024
Section Cited
CCR
101438.2(b)

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Outdoor Activity Space for Infants...
(b) Outdoor activity space shall be physically separate from space used by children in the child care center and school-age child care center components. This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section

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By COB on 12/09/2024 Director stated they will submit a written statement on how the facility will come back into compliance.
Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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cited above when preschool child was playing on infant yard which resulted an injury which poses an potential risk to the health, safety or personal rights of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Sherelle Johnson
LICENSING EVALUATOR NAME:Kareeca Sykes
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2024


LIC809 (FAS) - (06/04)
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