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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400337
Report Date: 05/22/2024
Date Signed: 05/22/2024 04:57:21 PM

Document Has Been Signed on 05/22/2024 04:57 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: 0CENSUS: 64DATE:
05/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Maggie CorralTIME VISIT/
INSPECTION COMPLETED:
05:07 PM
NARRATIVE
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Licensing Program Analysts (LPAs), Cortney Nelson and Farida Raja, met with Site Director, Maggie Corral, and explained purpose of visit. Upon arrival, LPAs were admitted into the facility by Maggie.

During review of files for the children enrolled into discovery preschool classrooms (DPS), LPAs observed that majority of files reviewed were missing the signed copy of Acknowledgement of Receipt of Licensing Reports (LIC9224) for Type A citation cited on 5/9/2024. LPAs advised that signed copy of the LIC9224 is required for all currently enrolled children as well as any newly enrolled children for the next 12 months. LPAs further advised that even if the facility is appealing the citation, they must follow the requirements per Health and Safety Code 1596.8595.

LPAs additionally advised that the full copy of the LIC809 shall be posted for 30 days as only the citation page was posted in the facility during today's inspection.

As a result of today's inspection, a deficiency has 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.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE: DATE: 05/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/22/2024
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 05/22/2024 04:57 PM - It Cannot Be Edited


Created By: Cortney Nelson On 05/22/2024 at 03:45 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: 05/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/31/2024
Section Cited
HSC
1596.8595(c)(4)

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1596.8595 Posting licensing report by child care facility or home; duration of posting; civil penalty for failure to comply; reports to be provided to parents or guardian of each child receiving services (c)(4) The licensee shall keep verification of receipt in each child's file.

This requirement was not met as evidenced by:
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The Site Director shall submit proof of signed LIC9224 for all children enrolled into the preschool program by 5/31/2024.
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During file review, LPAs observed that the Site Director did not obtain signature for the LIC9224 for majority of the children's files, including those newly enrolled, which poses a potential risk to the health, safety, and personal rights of children in care.
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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: 05/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/22/2024


LIC809 (FAS) - (06/04)
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