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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603011
Report Date: 09/23/2024
Date Signed: 09/23/2024 09:51:21 AM

Document Has Been Signed on 09/23/2024 09:51 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:KINDERCARE LEARNING CENTER - PEETSFACILITY NUMBER:
343603011
ADMINISTRATOR/
DIRECTOR:		MORENO, AMYFACILITY TYPE:
850
ADDRESS:9150 PEETS STREETTELEPHONE:
(916) 684-9284
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 17DATE:
09/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Amy MorenoTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Gagandeep Singh met with the facility director, Amy Moreno, for a case management inspection. There was an incident at a different facility at another location. The child involved in the incident was dis-enrolled and is currently attending this facility. Purpose of today’s inspection was to interview the child to obtain the information related to a different facility. During today’s inspection, LPA interviewed the child. LPA did not observe any violation of regulations during the inspection. Copy of this report was reviewed and provided to the Director. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2024
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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