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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343607712
Report Date: 09/17/2021
Date Signed: 09/17/2021 02:26:00 PM

Document Has Been Signed on 09/17/2021 02:26 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:KINDERCARE LEARNING CENTER - NATOMA (PRESCHOOL)FACILITY NUMBER:
343607712
ADMINISTRATOR:MALHI, PARVEENFACILITY TYPE:
850
ADDRESS:420 NATOMA STATION DR.TELEPHONE:
(916) 353-0687
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY: 70TOTAL ENROLLED CHILDREN: 0CENSUS: 37DATE:
09/17/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Maria HarlandTIME COMPLETED:
03:00 PM
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On September 17th, 2021, Licensing Program Analyst (LPA) Kelly Ferrara conducted a Case Management Inspection at the facility and met with Assistant Director Maria Harland. Today's census included 37 preschool children in care with four staff.

LPA received an Unusual Incident Report regarding an incident that occurred on September 10th, 2021. During today's inspection, LPA interviewed Assistant Director, staff, and child. LPA will continue to gather information regarding the incident before returning to conclude the case management.

Exit interview was conducted and a copy of this report was given to the Assistant Director.
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2021
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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