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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400337
Report Date: 02/08/2023
Date Signed: 02/08/2023 11:29:48 AM

Document Has Been Signed on 02/08/2023 11:29 AM - 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 CENTERFACILITY NUMBER:
434400337
ADMINISTRATOR:SONALIKA CLARKFACILITY TYPE:
850
ADDRESS:1081 FOXWORTHY AVENUETELEPHONE:
(408) 265-7380
CITY:SAN JOSESTATE: CAZIP CODE:
95118
CAPACITY: 96TOTAL ENROLLED CHILDREN: 89CENSUS: 65DATE:
02/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Ebony SandersTIME COMPLETED:
12:00 PM
NARRATIVE
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Licensing Program Analyst (LPA), Kassandra Medrano conducted an unannounced Case Management inspection and met with Director, Ebony Sanders. The purpose of the inspection was to deliver the amended LIC 9099 which was originally issued on 12/08/2022.

After an internal review Community Care Licensing Division (CCLD) Child Care Program found that the allegation and investigation finding narrative was not consistent with the reported allegation and investigation. An amended report is being provided.


NO DEFICIENCY WAS ISSUED. NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE: DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/08/2023
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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