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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313605610
Report Date: 05/19/2023
Date Signed: 05/19/2023 10:37:20 AM

Document Has Been Signed on 05/19/2023 10:37 AM - 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:KINDERCARE LEARNING CENTER - SIERRA COLLEGE (INF)FACILITY NUMBER:
313605610
ADMINISTRATOR:ANDREANA THORNSBERRYFACILITY TYPE:
830
ADDRESS:8765 SIERRA COLLEGE BOULEVARDTELEPHONE:
(916) 789-9898
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 23DATE:
05/19/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Andreanna ThornsberryTIME COMPLETED:
10:45 AM
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Licensing Program Manager (LPM) Keven Peters and Licensing Program Analyst (LPA) Jeremey McClain met with Director Andreanna Thornsberry and District Manager Melanie Demarchi for the purpose of an Informal Office Meeting.
LPM Peters defined the difference between a Non-Compliance and an Informal Meeting. The purpose of today’s Informal Office Meeting was to discuss the Unusual Incidents which occurred on 04/03/2023 and 04/17/2023 and was reported to the licensing office within the required time frame.
A child in care suffered allergic reactions after being exposed to dairy products on two separate occasions, 04/03/2023 and 04/17/2023. The child began coughing, vomiting, and developed hives. Staff at the time administered emergency medical procedures and also contacted 911 during the incident on 04/17/2023. The child was treated by the paramedics at the facility and later monitored at the hospital. The child returned to care the following day.

The following citations and regulations were discussed:
CCR 101223(a)(2) Personal Rights was issued on 04/21/2023.
Director and District Manager have developed a plan that addresses the risk of a potential exposure. All staff have been trained on the plan and adminstering medical services if necessary. The plan has been discussed with the child's physician and parents.
LPM Peters informed Director and Distric Manager that continued deficiencies may result in further action, including a non-compliance meeting with the Regional Manager.

LPM and LPA provided information regarding the Technical Support Program (TSP), which is a non-enforcement arm of the Community Care Licensing Division offering onsite support to licensees and providers. LPA McClain discussed using the Department website (ccld.ca.gov) for child care updates, current forms, legislation and regulation information. LPM De Luca suggested that Licensee can view information videos at www.ccld.childcarevideos.org .

This report was reviewed with the Acting Director and Licensee Representative.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE: DATE: 05/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2023
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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