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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400331
Report Date: 12/15/2023
Date Signed: 12/15/2023 12:02:46 PM

Document Has Been Signed on 12/15/2023 12:02 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
434400331
ADMINISTRATOR:MAARIT MCCROSSENFACILITY TYPE:
850
ADDRESS:605 EAST DUNNE AVENUETELEPHONE:
(408) 778-1237
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY: 69TOTAL ENROLLED CHILDREN: 69CENSUS: 43DATE:
12/15/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Maarit McCrossenTIME COMPLETED:
10:16 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Samantha Yip and Doni Fici conducted an unannounced Case Management- Other inspection. LPA met with Director Maarit McCrossen and explained the reason for the inspection. The purpose of this inspection is facility added a partition in the TK room and changing the names of the room. Facility also came into the San Jose Regional office for an informal meeting regarding supervision and personal rights. A fire clearance was granted on 12/13/2023.

Measurements for the TK room were conducted during today's inspection. The measurements are as followed:
(16.167 x 38.833 = 627.813) + (12.167 x 10.500 = 127.753) = 755.566 minus encumbered space (2.000 x 4.000 = 8) = 747.566

Measurements for the Prek-K, Preschool Room, and Discovery Preschool Room were conducted on 01/31/2023. The measurements are as followed:
Preschool: 34.417 x 44.167 = 1520.095 minus encumbered space 4 x 1.750 = 7 + 7.083 x 12.833 = 90.896 + 6.667 x 13.333 = 88.891 + 2(1.833 x 4.167) = 15.276 = 202.063 = 1520.095 - 202.063 = 1318.032
Discovery Preschool B: 29.583 x 22.083 = 653.281 minus encumbered space 2 x 2= 4 + 1.833 + 4.167 = 7.638 + 4 x 1.750 = 7 + 5 x 2= 10 = 28.638 = 653.281 - 28.638 = 624.643
Discovery Preschool A: 22 x 29.750 = 654.5 minus encumbered spaced 4 x 1.750 = 7 + 1.833 x 4.167 = 7.638 + 2 x 4.917 = 9.834 + 2.583 x 1.833= 4.734 = 29.206 = 625.294

Total Indoor Square Footage: 747.566 + 1318.032 + 624.643 + 625.294 =
3,315.535 divided by 35 = 94 children

--------------continues on 809 dated 12/16/2023 page 2--------------------------
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434400331
VISIT DATE: 12/15/2023
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-------------------continuation of 809 dated 12/15/2023 page 1---------------------

The outdoor measurements were conducted on 01/31/2023 and 08/24/2023. The measurements are as followed:
Preschool Yard B: (66.917 x 43.333 = 2,899.717) minus encumbered space 20.654 = 2,879.060
Preschool Yard A: 80.083 x 67.417 = 5398.955 minus encumbered 2.417 x 4.167 = 10.071 + 5.167 x 2.833 = 14.638 + 2(1.167 x 1) = 3.34 = 28.049 = 5398.955 - 28.049 = 5370.906

Total Outdoor Space: 8,249.966 divided by 75 = 109 children

There are 69 chairs, 18 tables, 81 cubbies, 42 hooks, 7 sinks, 7 toilets, and 78 cots. There are toys and equipment for children. LPA observed that there was a cabinet under the changing table sink which was not locked and had cleaning supplies. There was also a cabinet in the Discovery Preschool B that had spray bottles with cleaning supplies. The cabinet has a latch, but was not latching. Director locked cabinet under the changing table and moved the cleaning supplies in the Discovery Preschool B room to a lock cabinet. LPA discussed with Director that all cleaning supplies and disinfectants need to be inaccessible to children.

LPAs obtained a updated LIC 999 to reflect the change of room names.

As a result of this inspection, a Type B citation was issued. Exit interview conducted and report was reviewed with Director Maarit McCrossen. A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2023
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Document Has Been Signed on 12/15/2023 12:02 PM - It Cannot Be Edited


Created By: Samantha Yip On 12/15/2023 at 11:31 AM
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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KINDERCARE LEARNING CENTER

FACILITY NUMBER: 434400331

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/22/2023
Section Cited
CCR
101235(g)

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Building and Grounds. Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.
This requirement is not met as evidenced by:
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Deficiency was corrected during today's inspection. Director locked the cabinet under the changing table and moved the spray bottles
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Based on observation, LPAs observed that there was a cabinet under the changing table that had spray bottles with cleaning supplies that was not locked. There was also a cabinet in Discovery Preschool B Room that had spray bottles with cleaning supplies that was accessible to children. This poses a potential health and safety risk to children in care.
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in the Discovery Preschool B room to a locked cabinet.

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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:Joel Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2023


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