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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400337
Report Date: 05/09/2024
Date Signed: 05/09/2024 05:44:49 PM

Document Has Been Signed on 05/09/2024 05:44 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/
DIRECTOR:		MARGARITA CORRALFACILITY TYPE:
850
ADDRESS:1081 FOXWORTHY AVENUETELEPHONE:
(408) 265-7380
CITY:SAN JOSESTATE: CAZIP CODE:
95118
CAPACITY: 96TOTAL ENROLLED CHILDREN: 78CENSUS: 69DATE:
05/09/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Reyna ReyesTIME VISIT/
INSPECTION COMPLETED:
06:05 PM
NARRATIVE
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Licensing Program Analysts (LPAs), Cortney Nelson and Farida Raja, met with Assistant Director, Reyna Reyes, and explained purpose of visit. Upon arrival, LPAs were admitted into the facility by Reyna and toured inside and outside during today's inspection.

During observation of DPS classroom, LPAs observed that classroom #3 and #5 are in one room due to picture day. When transitioning to outside play, LPAs observed S1 and S2 bring 16 preschool-age children. They remained outside with 16 preschool-age children for at least 30 minutes before observation ended. A teacher and assistant (with no ECE units) shall visually observe no more than 15 preschool-age children. LPAs additionally advised that a fully qualified teacher shall have 12 semester units of ECE including the core courses of child development, curriculum, and child, family, community.

LPA informed licensee (Reyna Reyes) that this report dated (5/9/2024) documents one Type A citation, which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA informed the licensee to provide a copy of this licensing report dated (5/9/2024) that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

As a result of today's inspection, a deficiency was cited, see LIC809-D.

Exit interview conducted and report was reviewed with the Assistant Site Director, Reyna Reyes.

A NOTICE OF SITE VISIT WAS GIVEN AND SHALL BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2024
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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Document Has Been Signed on 05/09/2024 05:44 PM - It Cannot Be Edited


Created By: Cortney Nelson On 05/09/2024 at 04:12 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: 434400337

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
05/10/2024
Section Cited
CCR
101216.3(b)

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101216.3 Teacher-Child Ratio (b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance.

This requirement was not met as evidenced by:
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The Licensee shall post staff/child ratio poster in the classrooms and review with staff to confirm they understand ratio requirements. Pictures of poster in classrooms shall be submitted to the Department by 5/10/2024.
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The staff in DPS did not follow staff/child ratio requirements as a teacher and aide were observed with 16 preschool-age children, which poses a risk to the health, safety, and personal rights of children in care.
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Signed statement of understanding shall be submitted for DPS staff and aides shall additionally be submitted by 5/10/2024.

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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:Cortney Nelson
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2024


LIC809 (FAS) - (06/04)
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