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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
434400342
Report Date:
03/07/2024
Date Signed:
03/07/2024 04:13:23 PM
Document Has Been Signed on
03/07/2024 04:13 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
SAN JOSE CC RO
,
2580 N FIRST STREET, STE. 300
SAN JOSE
,
CA
95131
FACILITY NAME:
KINDERCARE LEARNING CENTER
FACILITY NUMBER:
434400342
ADMINISTRATOR:
MARCELLA TARIN
FACILITY TYPE:
850
ADDRESS:
840 BING DRIVE
TELEPHONE:
(408) 246-2141
CITY:
SANTA CLARA
STATE:
CA
ZIP CODE:
95051
CAPACITY:
108
TOTAL ENROLLED CHILDREN:
108
CENSUS:
34
DATE:
03/07/2024
TYPE OF VISIT:
Case Management - Incident
UNANNOUNCED
TIME BEGAN:
01:10 PM
MET WITH:
Marcella Tarin/Director
TIME COMPLETED:
02:55 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 3/1/2024. LPA was greeted by Director Marcella Tarin. The Director stated that the incident occurred on 2/29/24 approximately at 10:20am while Preschool Room 4 was transitioning from the classroom to the playground.
LPA reviewed supporting documents and interviewed staff. LPA obtained supporting documentation pertinent to the Incident.
No deficiencies were cited at today's visit.
Exit interview was conducted with Director Marcella Tarin.
SUPERVISORS NAME
:
Gladys Kuizon
LICENSING EVALUATOR NAME
:
Anna Morales
LICENSING EVALUATOR SIGNATURE
:
DATE:
03/07/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
03/07/2024
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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