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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343602980
Report Date: 04/17/2023
Date Signed: 04/17/2023 12:37:16 PM

Document Has Been Signed on 04/17/2023 12:37 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 SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:KINDERCARE LEARNING CENTER - BRUCEVILLEFACILITY NUMBER:
343602980
ADMINISTRATOR:ALYSSA DIPIPPOFACILITY TYPE:
850
ADDRESS:9394 BRUCEVILLE ROADTELEPHONE:
(916) 684-4040
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 84TOTAL ENROLLED CHILDREN: 84CENSUS: DATE:
04/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Alyssa DiPIppoTIME COMPLETED:
01:00 PM
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On 04/17/2023, Licensing Program Analyst Katy Maestas (LPA) conducted a Case Management inspection at the facility regarding a self-reported Unusual Incident Report dated 04/12/2023. LPA arrived at the facility and was met by the Director Alyssa DiPippo (D1). LPA disclosed the purpose of the inspection and was granted entrance into the facility. LPA observed 10 infants being supervised by 3 staff members and 48 preschool aged children being supervised during nap time by 4 staff members. LPA accessed Guardian to verify that all required adults were background cleared. LPA interviewed staff members and requested a copy of the Facility Roster and children's files.

No deficiencies were cited in the areas that were observed on 04/17/2023. An exit interview was conducted and the report was reviewed with D1. LPA provided D1 with Licensee Appeal Rights. A Notice of Site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Nola Maestas
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2023
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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