073401315-6-30-2023-02-CC-ILOA-CTAVJE-20230630162837

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073401315
Report Date: 06/30/2023
Date Signed: 06/30/2023 04:28:43 PM

Document Has Been Signed on 06/30/2023 04:28 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	KINDERCARE LEARNING CENTER, #1367		FACILITY NUMBER:	073401315
ADMINISTRATOR:	BETTS, WANDA		FACILITY TYPE:	850
ADDRESS:	3240 SAN PABLO DAM ROAD		TELEPHONE:	(510) 222-1144
CITY:	SAN PABLO	STATE: CA	ZIP CODE:	94806
CAPACITY:	72	CENSUS: 29	DATE:	06/30/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:44 AM
MET WITH:	Wanda Betts		TIME COMPLETED:	04:30 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	On June 30, 2023 at 8:44am Licensing Program Analyst (LPA) Indira Loza met with Director Wanda Betts for an unannounced 1-year required visit. Present for the inspection, the were 29 children and 6 fingerprint cleared staff. During today's visit the LPA collected a children's roster. The facility was toured for a health and safety check. The hours of operation are 7am - 6pm, Monday - Friday CLASSROOMS: The preschool operates out three classrooms which were inspected. There were play and learning materials available for the children. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The center has a smoke detector, a carbon monoxide detector, working telephone, pull down fire alarm system, and two fully charged 3A10BC fire extinguishers. FOOD SERVICE AREAS: This facility provides breakfast, lunch, and one snack for the children. LPA observed the eating area to be clean. OUTDOOR PLAY AREAS: LPA observed an anchored play structure with cushioning to absorb falls. There were plenty of age appropriate activities. BATHROOMS AND TOILETING AREAS: This facility has a separate bathroom for the children and the staff. The sinks and faucets are in safe and sanitary operating condition. The children can reach the sinks and toilets. There were supplies available to the children. The Director's office is the isolation area. RECORDS: All individuals subject to criminal record review have a clearance or exemption. Mandated Reporter Training was current for all staff. All staff had a current CPR training certificate. The last fire/disaster drill was conducted on June 14, 2023. All required documents are posted in a public accessible area. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. LPA verified ****************************Report Continues on LIC 809-C***********************

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira Loza	TELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023

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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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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER, #1367	FACILITY NUMBER: 073401315
	VISIT DATE: 06/30/2023

NARRATIVE

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that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. PIN 22-05-CCP Page Four. CCC has completed testing and remediated a drinking fountain with an exceedance. LPA referred Director Betts to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Director, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

See LIC 809-D for the Type B deficiency issued during today's visit.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director Wanda Betts.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira Loza	TELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/30/2023 04:28 PM - It Cannot Be Edited

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER, #1367	FACILITY NUMBER: 073401315
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/30/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216.3(a)

(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above in that 2 of 2 staff in the "2's" classroom caring for children were Aides which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/28/2023
	Plan of Correction
1 2 3 4	Director shall email the LPA with a plan to ensure that there is a fully qualified teacher in the each classroom at all times.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira Loza	TELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023

LIC809 (FAS) - (06/04)

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