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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400342
Report Date: 06/13/2024
Date Signed: 06/14/2024 09:10:18 AM

Document Has Been Signed on 06/14/2024 09:10 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:
434400342
ADMINISTRATOR/
DIRECTOR:		MARCELLA TARINFACILITY TYPE:
850
ADDRESS:840 BING DRIVETELEPHONE:
(408) 246-2141
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 32DATE:
06/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Sarah PopovichTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
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Licensing Program Analyst(LPA) Anna Morales conducted a Case Management Inspection regarding an Incident Report that was reported to CCL on 6/3/2024 and again on 6/11/2024. LPA was greeted by Assistant Director Sarah Popovich. The Assistant Director stated that an incident was reported to Staff on 5/31/24 that occurred in one of the Preschool Classrooms.

LPA toured the classroom(s), interviewed staff, and obtained supporting documentation pertinent to the Incident.

No deficiencies were cited at today's visit.

Exit interview was conducted with Assistant Director Sarah Popovich.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2024
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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