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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400337
Report Date: 01/29/2025
Date Signed: 01/29/2025 10:30:48 AM

Document Has Been Signed on 01/29/2025 10:30 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 CC RO, 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: 96CENSUS: 45DATE:
01/29/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Marissa MunozTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
NARRATIVE
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Licensing Program Analyst (LPA) Jennifer "Jen" Beehler conducted an unannounced case management inspection to investigate the incident that occurred on 01/17/2025. LPA was granted access by Assistant Director Maggie Corral and provided access to the facility.

Acting Director Marissa Munoz arrived shortly after. LPA conducted an interview with the Director and walked through the incident on the playground and classroom with the Director. LPA observed the playground was fenced in and locked from outside access. There are large windows all around the classroom and the door to the classroom is mostly glass. This allows visual capability to a majority of the playground from the classroom door and the large windows.

Director described the incident occurring during transition from outside play time to lunch inside. Teachers were using the face to name checking system which involves teachers to utilizeing a name list and check off each child as their face is recognized. The child was checked in, but went behind the teacher's back to enter back onto the playground. When the teacher completed her check, she closed the door without looking behind her. The secondary teacher saw the child standing on the other side of the door a few steps away and notified the first teacher. The first teacher turned around and immediately opened the door and let the child in. LPA did determine there was an absence of supervision, but it did not pose an immediate threat to the child's well being.

Director was immediately notified by the teachers of the incident and the Director immediately notified the parent of the child and discussed the incident in depth. Director conducted a training with all staff on 01/22/2025 on face to name verification, transition procedure and practiced different scenarios with the staff. Director stated new procedures for transitioning would include teachers holding the door open with their backs flush to the door so that there is only one way for children to enter or exit.

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SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE: DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2025
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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434400337
VISIT DATE: 01/29/2025
NARRATIVE
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Teachers will also do a final sweep looking around the entire area before closing any doors. Director also stated for the interim, management is supervising all transitions from the playground to the classrooms to insure that the new procedures are being handled in accordance with the directive. Management will provide feedback or corrections until it is clear all staff members are adhering to the procedural change and transitions are secure for all children.

Due to today's inspection one Type B Citation was issued and a Civil Penalty of $500 was cited. More information provided on the attached LIC809-D and LIC421IM.

Director provided proof of the training conducted and procedural changes enacted, due to these actions the plan of correction was cleared during today's inspection.

Exit interview conducted with Acting Director Marissa Munoz, report reviewed and provided along with appeal rights. NOTICE OF SITE VISIT PROVIDED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/29/2025 10:30 AM - It Cannot Be Edited


Created By: Jennifer Beehler On 01/29/2025 at 09:59 AM
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: 01/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/29/2025
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1)No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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01/22/2025 Director conducted an all staff training on transitions using the face to name check system. Procedures were changed to include teachers opening the doors with their bodies and staying flush to the door so children have one way to enter/exit. Teachers practiced different scenarios. Management will monitor transitions insuring new procedures are adapted and maintained.
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This requirement has not been met as evidenced by: on 1/17/2025 teachers closed the door to the playground leaving child outside. This posed a potential risk to the health and safety of the child 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:Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:
DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/29/2025


LIC809 (FAS) - (06/04)
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