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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434408011
Report Date: 02/15/2024
Date Signed: 02/15/2024 03:16:38 PM

Document Has Been Signed on 02/15/2024 03:16 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:
434408011
ADMINISTRATOR:POPOVICH, SARAHFACILITY TYPE:
830
ADDRESS:1515 S. DE ANZA BLVDTELEPHONE:
(408) 861-9510
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY: 32TOTAL ENROLLED CHILDREN: 24CENSUS: 20DATE:
02/15/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Sarah PopovichTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA), Marilou Monico, conducted a Case Management Inspection in response to Licensee's request to change the capacity from 32 to 44 children in the infant program. LPA toured the indoor and outdoor areas.

The following measurements were taken by LPA Monico during today's inspection:
INFANTS 2: 21.00 x 29.83 = 626.43 minus 57.39 (encumbered space) = 569.04

The following measurements were taken by LPA Clifford on December 21, 2004:
TODDLERS 1: 22.249 x 14.747 = 328.106 minus 12.670 (encumbered space) = 315.436
TODDLERS 2: 22.249 x 16.747 = 372.604 minus 49.031 (encumbered space) = 323.573
INFANTS 1 (previously INFANTS): 37.830 x 21.166 = 800.709 minus 48.324 ( encumbered space) = 752.385
TOTAL INFANT/TODDLER INDOOR SPACE: 1,960.43 divided by 35 = 56 children

INFANT/TODDLER PLAYGROUND: 81.581 x 26.581 = 2168.504
TOTAL INFANT/TODDLER OUTDOOR SPACE: 2168.504 sq. ft. divided by 75 = 28 children

There are 7 sinks (105) and 2 toilets available for the children. There are two staff bathrooms. The staff bathroom located in the Reception Area will be utilized by sick children if needed. The sick children will be isolated in the Director's office and isolated equipment is provided. Cleaning supplies are stored inaccessible to children. There are 48 cubbies, 27 chairs, 6 tables, 20 cots, and 20 cribs for the daycare children. Each room has a diaper changing table within arm's reach of a sink.

Continuation on next page:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2024
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434408011
VISIT DATE: 02/15/2024
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Fire clearance was granted on February 12, 2024.

A license for 44 children in the infant program will be approved upon receipt of the following:
1) Complete paperwork for the new director, Cindy Calderon.
2) Waiver request to be licensed for 44 children even the playground is only measured for 28 and playground schedule.
3) Photos showing that Infants 2 is fully set-up.

Exit interview conducted and report was reviewed with Assistant Director, Sarah Popovich.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2024
LIC809 (FAS) - (06/04)
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