<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313605610
Report Date: 01/10/2024
Date Signed: 01/10/2024 02:47:09 PM

Document Has Been Signed on 01/10/2024 02:47 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
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: 24DATE:
01/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Andreana ThornsberryTIME COMPLETED:
03:00 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
Licensing Program Analyst (LPA) Jeremey McClain met with facility representative Andreana Thornsberry for an unannounced Case Management Inspection regarding an Unusual Incident Report.

Upon arrival, LPA observed 24 infants, supervised by six staff members in three rooms.

On 12/18/2023 it was reported that on 12/14/2023 a child was involved in an accident in care that required medical attention at a hospital. It was reported that Child #1 hit their on a brick column outside of the toddler room fainted moments. Initially staff thought the child suffered a seizure. However, the child was diagnosed with a concussion, and it was determined that the child had fainted, not seized. During today’s inspection LPA spoke with Staff 1, Staff 2, and Staff 3 regarding the incident. LPA also observed the area where the accident occurred. LPA previously spoke with Child #1’s parent before today’s inspection. All interviews were consistent with was what reported.

LPA determined that the incident was not due to a lack of supervision, nor were there any Title 22 deficiencies related to the incident. LPA discussed reporting requirements with the licensing representative.

This report was reviewed with the licensing representative Andreana Thornsberry. LPA provided a Notice of Site Visit, which must remain posted for 30 days.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1