<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400337
Report Date: 04/11/2024
Date Signed: 04/11/2024 04:08:35 PM


Document Has Been Signed on 04/11/2024 04:08 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:
434400337
ADMINISTRATOR:MARGARITA CORRALFACILITY TYPE:
850
ADDRESS:1081 FOXWORTHY AVENUETELEPHONE:
(408) 265-7380
CITY:SAN JOSESTATE: CAZIP CODE:
95118
CAPACITY:96CENSUS: 58DATE:
04/11/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Maggie CorralTIME COMPLETED:
04:18 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), Cortney Nelson and Farida Raja, met with the Site Director, Maggie Corral, and explained purpose of visit. Upon arrival, LPAs were admitted into the facility by Maggie and advised that she is the only administrative staff on site today. LPAs observed that the Assistant Director and Program Administrator were not present.

During today's inspection, LPAs observed that children's napping materials in classroom #3 not being individually stored, as napping blankets were observed to be stored on top of the nap cots, touching each other. There were approximately five (5) children's napping materials stored on top of the nap cots, rather than in individual cubbies. LPAs advised that children's napping materials shall be stored so that no child's bedding comes in contact with other children's bedding. This was previously cited during visit on 3/14/2024 and is a repeat violation.

LPAs reviewed the definition of "care and supervision" with the Site Director and advised that the following needs shall be met for the children in care: assistance in diapering, dressing, grooming, bathing and other personal hygiene; maintenance of rules; supervision of children's schedules and activities; monitoring food intake or special diets. During today's observation, LPAs observed one child was wet from spilled milk and was not changed and another was wet from a soiled diaper prior to nap time. Children were observed to be climbing on tables, engaging in conflicts with other children without adult assistance, drawing on tables with crayons/markers, and dumping teacher supplies out onto the floor. The posted schedule inside/outside the classroom is not currently being followed as LPAs did not observe any small group activities with the children. Additionally, children were observed to be spilling milk on the floor and one child was not offered milk as the supply had run out for the classroom. Staff were not seated at tables with the children as they were eating, however they were walking around the tables during that time.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3


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: 434400337
VISIT DATE: 04/11/2024
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
26
27
28
29
30
31
32
LPAs advised the Site Director to continue observations and monitoring of the classroom and to review the regulations with staff. The Site Director advised the LPAs that classroom 5 repairs should be finished up this weekend the classroom will most likely be able to resume operation on Monday (4/15). LPAs advised continuing to work with staff for discovery preschool once the children have resumed in their typical classroom to ensure that their needs are being met and proper care and supervision is being provided.

As a result of todays inspection, deficiencies have been cited, see LIC809-D.

Exit interview conducted and the report was reviewed with the Site Director, Maggie Corral.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 04/11/2024 04:08 PM - It Cannot Be Edited

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: 434400337

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/15/2024
Section Cited
CCR
101239.1(c)(2)

1
2
3
4
5
6
7
101239.1 Napping Equipment (c) Each cot...shall be equipped with a sheet to cover the cot... and...a sheet and/or blanket to cover the child. (2) Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding.

This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Remind staff to move bedding to be individually stored, may ask for hooks to hang under the cubbies, or have staff utilize them for hanging the larger blankets. Photo to be submitted to the Department by 4/15/2024.
8
9
10
11
12
13
14
The staff in classroom #3 did not ensure that each childs bedding did not come into contact with other children's bedding, as four nap blankets/rolls were observed to be stacked on top of the nap cots touching each other, which poses an potential risk to the health, safety, and personal rights of children in care.
8
9
10
11
12
13
14
Site Director states she will review the requirement with staff next week during staff meeting.
Type B
04/19/2024
Section Cited
CCR101229(a)

1
2
3
4
5
6
7
101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.

This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Will go over the care and supervision definition with the staff, make sure that they understand, have them repeat it back to make sure they are clear on the expectations. For cups, will get sippy cup take and toss, use the labels with their name.
8
9
10
11
12
13
14
The staff in classroom #3 did not provide care and supervision to meet the children's needs (per definition (3)(A), (3)(E), (3)(F), (3)(G)), which poses a potential risk to the health, safety, and personal rights of children in care.
8
9
10
11
12
13
14
Site Director will meet with staff and submit written statement about changes that will be implemented to address 3A, 3E, 3F, and 3G of care and supervision definition, to be submitted to the Department on 4/19/2024.
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 SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3