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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434403523
Report Date: 06/07/2023
Date Signed: 06/07/2023 03:21:42 PM

Document Has Been Signed on 06/07/2023 03:21 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:
434403523
ADMINISTRATOR:AMANDA HERNANDEZFACILITY TYPE:
830
ADDRESS:1155 EAST ARQUES AVENUETELEPHONE:
(408) 245-3276
CITY:SUNNYVALESTATE: CAZIP CODE:
94085
CAPACITY: 73TOTAL ENROLLED CHILDREN: 59CENSUS: 54DATE:
06/07/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Amanda "Mandy" HernandezTIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Mel Matos met with Amanda "Mandy" Hernandez, director, for an unannounced case management inspection. Purpose of today's inspection: investigate an unusual incident that the Facility reported to the Department on April 14, 2023.

Mandy states that there was two separate incident that occurred between Wednesday April 12, 2023 and Thursday April 13, 2023. Mandy states that the first incident (Wednesday April 12, 2023) involved an allegation that a staff had put a child in a storage closet in the classroom and the second incident (Thursday April 13, 2023) involved one staff threatening another staff in the playground area of the Facility.

Mandy states that the first allegation was investigated and determined that there was no evidence to substantiate it. Mandy states that the second incident was observed by staff and states that the staff who threatened another staff was immediately placed on administrative leave and ultimately let go. Mandy states that neither staff or children were in any type of danger as a result of the incident; however, Mandy states that Facility has a "zero tolerance" policy regarding any type of threat to staff or children.

No deficiencies cited as a result of today's investigation.

Exit interview conducted and report was reviewed with Director, Amanda "Mandy" Hernandez. Notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2023
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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