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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603011
Report Date: 04/03/2024
Date Signed: 04/03/2024 01:07:16 PM


Document Has Been Signed on 04/03/2024 01:07 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:KINDERCARE LEARNING CENTER - PEETSFACILITY NUMBER:
343603011
ADMINISTRATOR:SCOVEL, BECCAFACILITY TYPE:
850
ADDRESS:9150 PEETS STREETTELEPHONE:
(916) 684-9284
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:72CENSUS: 53DATE:
04/03/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Amy MorenoTIME COMPLETED:
01:15 PM
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On 04/03/2024, Licensing Program Analyst Katy Velazquez (LPA) conducted a case management inspection to verify corrections of a deficiency cited on 03/28/2024. LPA arrived at the facility and was met by Assistant Director Amy Moreno (D1). LPA disclosed the purpose of the inspection and was granted entrance into the facility. LPA toured the facility and observed 53 preschool aged children being supervised 4 staff members during nap time. LPA determined, through accessing Guardian, that all required adults were background cleared and associated to the license.

On 03/28/2024, the facility was cited a Type A deficiency for exceeding teacher to child ratio.The deficiency was cleared by today's field visit. A Proof of Correction letter was provided to D1.

No deficiencies were cited today in the areas that were evaluated on 04/03/2024. An exit interview was conducted and the report was reviewed with Assistant Director Moreno. Licensee Appeal Rights were provided by LPA. A Notice of Site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements will result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR NAME: Katy VelazquezTELEPHONE: 916-926-9100
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024
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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