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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001398
Report Date: 03/21/2025
Date Signed: 03/21/2025 03:43:02 PM

Document Has Been Signed on 03/21/2025 03:43 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:KINDERCARE LEARNING CENTER LLC (PS)FACILITY NUMBER:
414001398
ADMINISTRATOR/
DIRECTOR:		CHRISTY BERMUDEZFACILITY TYPE:
850
ADDRESS:1350 WAYNE WAYTELEPHONE:
(650) 577-0257
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY: 70TOTAL ENROLLED CHILDREN: 75CENSUS: 52DATE:
03/21/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Director, Laura DuranTIME VISIT/
INSPECTION COMPLETED:
04:55 PM
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On 3/21/2025, at approximately 8:45AM, Licensing Program Analysts (LPAs) Jonathan Tse and Jovanna Badger conducted an unannounced annual visit at the facility. LPAs met with Director, Laura Duran, and explained the purpose of the visit. Present during the visit was Director, seven staff members, and 52 preschool age children. This facility is operating within staffing and ratio requirements on this day. This facility is a combination center, with an infant center (facility #414004173) located on the same premises. The facility’s operating hours are from 7:00AM-5:45PM.

LPAs and Director inspected the facility for any health or safety hazards. LPAs observed all classrooms to be equipped with fully charged 2A10BC fire extinguishers. There is a fire alarm system running throughout the facility. Smoke detectors were observed to be present. A carbon monoxide detector was observed to be operational during the visit. Emergency exits are clearly marked and visible. Emergency exit routes and plans are posted and accessible for review in each classroom. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care.

LPAs observed there to be age-appropriate toys and learning materials present. Furniture is age-appropriate and free of rough or sharp edges. There are individual storage spaces available for children’s belongings. Storage spaces are labeled with each child’s name. Children nap on cots that are labeled. Per Director, cots are wiped down and cleaned daily. Bedding is provided by the facility, but families have the option to provide their own. The facility provides breakfast, lunch, and snacks for children in care. Dietary preferences and food allergies are accounted for when meals are prepared. Water bottles are brought from home and refilled at the facility. Sinks and toilets were observed to be operational during the visit. First aid kits were observed to contain bandages and tweezers. LPAs advised that scissors shall be kept in each first aid kit. Director stated that they understood.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: KINDERCARE LEARNING CENTER LLC (PS)
FACILITY NUMBER: 414001398
VISIT DATE: 03/21/2025
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LPAs observed the outdoor play area to be free of debris and other loose materials. Toys and equipment are age-appropriate and in good repair. There is a play structure that is cushioned with resilient padding. The outdoor play area is enclosed by a fence that is at least four feet high. Emergency exits are fitted with handlebars that are out of reach of children in care. There are no swimming pools or other similar bodies of water present in the facility. There are no firearms or weapons stored in the facility.

LPAs reviewed eight staff files, ten children’s files, and facility records. LPAs observed there to be at least one staff member with current Pediatric First Aid/CPR training. LPAs observed that five out of eight staff files reviewed did not have immunization records present in their file. A deficiency shall be cited today. Director stated that they understood. LPAs advised that a change of director packet be submitted since there was a recent change. A list of required documents was provided to Director during the visit.

LPAs observed children’s files to contain Emergency Identification and Information (LIC700) and immunization records. LPAs advised that signed Physician Reports (LIC701) and admission agreements be maintained in each child’s file. All required postings were observed to be posted and accessible for review in the entrance of the facility. Per Director, the last emergency drill was conducted in January 2025. LPAs advised that emergency drills shall be logged and documented. Director stated that they understood.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a
maximum of 30 days per person will be assessed if this regulation is violated.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: KINDERCARE LEARNING CENTER LLC (PS)
FACILITY NUMBER: 414001398
VISIT DATE: 03/21/2025
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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

See LIC809-D for deficiency cited today regarding staff records. See LIC9102-TV for technical violations issued today regarding staff records, children's records, and facility records.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Laura Duran.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/21/2025 03:43 PM - It Cannot Be Edited


Created By: Jonathan Tse On 03/21/2025 at 02:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: KINDERCARE LEARNING CENTER LLC (PS)
FACILITY NUMBER: 414001398

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in five out of eight staff files which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/21/2025
Plan of Correction
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Director shall submit immunization records for all missing staff files to LPA via email by set due date of 4/21/2025.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ali Zebila
LICENSING EVALUATOR NAME:Jonathan Tse
LICENSING EVALUATOR SIGNATURE:
DATE: 03/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2025


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