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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434403523
Report Date: 07/11/2019
Date Signed: 07/11/2019 04:08:33 PM

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:
434403523
ADMINISTRATOR:TELMA ROJASFACILITY TYPE:
830
ADDRESS:1155 EAST ARQUES AVENUETELEPHONE:
(408) 245-3276
CITY:SUNNYVALESTATE: CAZIP CODE:
94085
CAPACITY:53CENSUS: 40DATE:
07/11/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Telma RojasTIME COMPLETED:
04:20 PM
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Licensing Program Analyst (LPA) Mel Matos met with Telma Rojas, director, for an unannounced case management inspection.

LPA toured the Facility and reminded Telma that infants must be visually supervised at all times while napping in the crib areas of the Infant 1, Infant 2, Infant 3 rooms.

Copies of reports from LPA's previous inspections on April 18 and April 19, 2019 were provided to LPA during today's inspection.

No deficiencies issued during today's inspection.

LPA conducted an exit interview with Telma and Telma agreed to submit an updated Infant & Toddler staff schedule by Monday July 15, 2019.


A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S MatosTELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2019
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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