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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603024
Report Date: 05/26/2023
Date Signed: 05/26/2023 02:02:10 PM


Document Has Been Signed on 05/26/2023 02:02 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:KINDERCARE LEARNING CENTER - VINTAGE PARK (INF)FACILITY NUMBER:
343603024
ADMINISTRATOR:ROMERO, TIAFACILITY TYPE:
830
ADDRESS:8887 VINTAGE PARK DR.TELEPHONE:
(916) 682-1111
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:24CENSUS: 10DATE:
05/26/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Tia RomeroTIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Mandie Goodwin conducted a follow up on the UIR reported on 5/2/23. This incident involved a child having difficulty breathing and paramedics were called. LPA obtained additional information regarding the incident.

No deficiencies were found.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Mandie GoodwinTELEPHONE: (916) 639-2867
LICENSING EVALUATOR SIGNATURE:
DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/26/2023
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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