434400334-5-15-2023-07-CC-FRAA-CRV8P4-20230515224055

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400334
Report Date: 05/10/2023
Date Signed: 05/15/2023 10:41:28 PM

Document Has Been Signed on 05/15/2023 10:41 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 JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	434400334
ADMINISTRATOR:	LYNDA NGUYEN		FACILITY TYPE:	850
ADDRESS:	3320 SAN FELIPE ROAD		TELEPHONE:	(408) 270-0980
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95135
CAPACITY: 81	TOTAL ENROLLED CHILDREN: 81	CENSUS: 53	DATE:	05/10/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Lynda Nguyen		TIME COMPLETED:	02:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts (LPAs), Farida Raja and Anna Morales, met with Director, Lynda Nguyen, for an unannounced Required 1-Year inspection in the Preschool Program. The facility is licensed to serve children ages 2- 5 years in three classrooms. The facility has one waiver for shared outside playground space between the infants and one preschool class (2–3-year-olds in Discovery Room). Infant (#434400332), and school age license (#434400333) are on the same premises. LPAs observed the required posted materials including menus and daily activity schedules. Director stated that days and hours of operation are currently Monday through Friday,7:30 am to 5:30 pm and will switch back to their regular hours of 6:30am-6pm starting July, 2023. LPAs observed: Discovery Preschool (2–3 year olds): 3 Teachers and 19 Children. Preschool (3-4 year olds): 3 Teachers and 19 Children. Pre-K (4-5 year olds) : 3 Teachers and 15 Children. Facility was in compliance with teacher to children ratio requirement. LPAs and Director toured the indoor and outdoor areas of the Preschool Program during today's inspection. The classrooms, children's restrooms, staff restrooms, kitchen and office area were inspected. There is a working telephone at the facility (408-270-0980).Children were engaged in various activities under the visual supervision of teachers. Disinfectants, cleaning solutions or chemicals that are dangerous to the health and safety of children were inaccessible to the children and stored in locked cabinets. The facility has central heating/air. LPAs observed solid waste containers with tight-fitting lids in the classrooms. Restrooms for children were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazards. There is a separate trash can with tight fitting cover for the disposal of diapers in each room.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 434400334
	VISIT DATE: 05/10/2023

NARRATIVE

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Director states that there are no weapons or firearms on the premises. Medications for children in each classroom are stored within locked boxes in locked cabinets. Each classroom has a first aid/emergency bag that is taken outdoors during outside play time.

LPAs observed fire extinguishers and fire pull stations in each classroom. Emergency Disaster plans were posted in each class. The facility has a built-in smoke detector/ fire system. Log shows that the last Fire Drill was conducted on 5/5/2023 which is compliant with the six-month requirement for facilities. Facility does not provide transportation to preschool children, but Director understands that children cannot be left alone, unattended in parked vehicles.

Furniture and equipment were age appropriate and free of sharp, loose, or pointed parts. LPAs observed appropriate changing tables that have raised sides (3 inches in height) and have vinyl changing pads that are at least 1 inch thick. Napping mats were in good condition. Drinking water is readily available for the children in each room and in the outdoor playground area via individual water bottles and water pitcher. Food storage and preparation areas were observed to be sanitary. The kitchen is clean and free of litter and rubbish. Foods and beverages were stored safely to prevent contamination and spoilage. All food and beverages that require refrigeration are stored in covered containers at 45 F. Director stated that the facility does not allow outside food except with a doctors note for children on a specific diet. The facility provides breakfast, lunch and PM snack everyday. The menu is in writing and posted for the whole month and is accessible to authorized representatives.

Two outdoor play areas were inspected and observed to be fenced in. Playground and play equipment were observed to be age appropriate and free of hazards. Areas around and under high climbing equipment and slides were cushioned with resilient rubber material that absorbs falls. Shade was provided by umbrellas, play structures and building overhangs. There were no bodies of water observed.

Children sign in and out logs were reviewed. Children's Roster was reviewed, and a copy was provided to the LPAs. A sampling of 8 children's files and 8 staff files were reviewed. All children's files were complete with all required documentation.

Teacher files reviewed contained the required verification of experience. At least one staff member on site has a current CPR and First Aid certification on file. Director understands that there shall be at least one person,

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

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 JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 434400334
	VISIT DATE: 05/10/2023

NARRATIVE

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with valid CPR and First Aid certifications, on site at all times and present during off-site activities (field trips). LPAs did not observed the required Mandated Reporter Training on file for most staff. LPA's reminded Director that both CPR/First Aid and Madated Reporter trainings must be renewed every 2 years. Some staff did not have the required Immunization's against Pertussis, Measles and Influenza (or an Opt out statement).
LPAs reminded Director of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license, and who come in contact with or provide care and supervision to the children. For an initial violation, civil penalty amounts to $100.00 per person per day with a maximum of $500.00 per person. For a subsequent violation within a 12-month period, civil penalty amounts to $100.00 per person per day with a maximum of $3000.00 per person. LPAs also reviewed with Director the violations that would result in an immediate assessment of civil penalty in the amount of $500. Director is encouraged to visit the Department’s website at www.ccld.ca.gov to access resources for Providers, Title 22 Regulations, Online option to pay Annual License fee, Adoption of new Laws, etc.

Director stated that facility does handle medications and currently has children in care who require Incidental Medical Services. LPA's observed that medication is properly stored out of reach of children with the proper documentation. Facility has an approved IMS Plan on file with San Jose Regional Office. Isolation of sick child was discussed, and Director explained that a sick child is brought to the lobby area to be isolated from other children. A school age restroom or staff restroom which is off limits to other children is used if necessary. Child is always under visual supervision while in care of the facility. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding Americans with Disabilities Act (ADA) was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) & link to Commonly Asked Questions and the ADA, available at:http://www.ada.gov/childqanda.htm

One Type B deficiency was cited today. Appeal rights were printed and given to Director.
Exit interview was conducted with Director, Lynda Nguyen.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/15/2023 10:41 PM - It Cannot Be Edited

Created By: Farida Raja On 05/10/2023 at 02:17 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 434400334
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/10/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above in 7 out of 8 staff which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/24/2023
	Plan of Correction
1 2 3 4	Director, Lynda Nguyen, states she will submit proof of current Mandated Reporter Trainings by Plan of Correction date of 05/24/23.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Gladys Kuizon

LICENSING EVALUATOR NAME:

Farida Raja

LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

LIC809 (FAS) - (06/04)

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