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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401323
Report Date: 05/16/2023
Date Signed: 05/16/2023 04:29:02 PM

Document Has Been Signed on 05/16/2023 04:29 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, #1039FACILITY NUMBER:
073401323
ADMINISTRATOR:SAUTER, LISAFACILITY TYPE:
840
ADDRESS:2300 MAHOGANY WAYTELEPHONE:
(925) 778-8888
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY: 25TOTAL ENROLLED CHILDREN: 29CENSUS: 24DATE:
05/16/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Lisa SauterTIME COMPLETED:
04:10 PM
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On 05/16/2023 at 4:00 PM. Licensing Program Analyst (LPA) Christina Watts met with Director, Lisa Sauter via phone call regarding a Case Management report. A Noncompliance Conference was held today with Regional Manager (RM) Diane Perez, Licensing Program Manager (LPM) Sherelle Johnson and Licensing Program Analyst (LPA) Christina Watts regarding a substantiated complaint for 03/06/2023 where 7 year old child was allowed to leave facility with unknown adult and without staff knowledge. Facility was unaware child had left with the wrong person until parent contacted Director.

This report is to inform the Director, Lisa Sauter, will be assessed a $500 civil penalty for lack of supervision as of 05/16/2023.

Report was reviewed with the licensee, Lisa Sauter.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2023
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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