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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434403524
Report Date: 12/10/2024
Date Signed: 12/10/2024 04:06:17 PM

Document Has Been Signed on 12/10/2024 04:06 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 CENTERFACILITY NUMBER:
434403524
ADMINISTRATOR/
DIRECTOR:
AMANDA HERNANDEZFACILITY TYPE:
850
ADDRESS:1155 EAST ARQUES AVENUETELEPHONE:
(408) 245-3276
CITY:SUNNYVALESTATE: CAZIP CODE:
94085
CAPACITY: 146TOTAL ENROLLED CHILDREN: 98CENSUS: 90DATE:
12/10/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Christy "Michelle" BermudezTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Mel Matos conducted an unannounced Annual/Required Inspection. LPA met with Christy "Michelle" Bermudez, Director, and explained the purpose today's inspection. Facility License, Notification of Parents’ Right Poster, Child Car Seat Law, Personal Rights (LIC 613A), Emergency Disaster Plan, Menus, Activity Schedule, and Earthquake Preparedness Checklist were observed on the postings board, located in the main lobby area of the Facility. Operating hours are Monday through Friday 7:30 AM to 6:00 PM. The Preschool Program utilizes six classrooms: DP1, DP2, P1, P2, Pre K, and KG. The Facility serves children ages 2 years to entry into first grade.

The indoor and outdoor areas were toured during today's inspection. LPA observed that the facility was operating in compliance with teacher to children ratio requirements during today's inspection. Cleaning products, disinfectants, sharp objects were stored inaccessible to children. Any poisons are locked. Furniture and equipment were observed to be age appropriate and in good condition. Michele states that the facility has a third party cleaning service that comes after day care hours to clean the facility.

Foods and beverages are kept protected against contamination and spoilage. The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. All food and beverages that require refrigeration are stored in covered containers at 45 degrees F or less. Drinking water is available for the children indoors via sippie cups, individual reusable water bottles, and water dispensers.

Staff and children's bathrooms are clean, sanitary, and operable. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. LPA observed trash cans with tight fitting lids for the disposal of solid waste throughout the Facility. There is a separate trash can with tight fitting cover for the disposal of diapers in rooms that provide potty training. Fire extinguisher, working smoke and carbon monoxide detectors were observed. Michelle states that there are no firearms in the facility.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE: DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/10/2024
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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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: 434403524
VISIT DATE: 12/10/2024
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LPA observed all furniture and equipment is in good condition and safe for the children. The playground area utilized by children is surrounded by appropriate fencing. The outdoor surfaces are safe for the children. LPA observed that the outdoor equipment is age appropriate and in good condition. There is sufficient resilient materials in the outdoor playground area. LPA did not observe any bodies of water.

LPA reviewed six children's files during today's inspection. Children records reviewed include Admission Agreement, Identification and Emergency Information, Consent for Emergency Medical Treatment, receipt of Parent Rights Notice, Personal Rights Notice, Physician's Report, Medical Assessment, and Immunization records.

LPA reviewed seven staff files during today's inspection. Staff records reviewed include: Personnel Record, Employee Rights, Statement Acknowledging Requirement to Report Child Abuse, Health Screening Report with TB Clearance, Immunization records (Measles, Pertussis, and Influenza), proof of education/required training records. Director and one staff has current Pediatric CPR/First Aid certifications on file. Last fire/disaster drill was completed on October 15, 2024.

Christy "Michele" Bermudez was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Exit interview conducted and report was reviewed with Director, Christy "Michele" Bermudez, and advised her that no deficiencies issued. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024
LIC809 (FAS) - (06/04)
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