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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013414408
Report Date: 01/12/2024
Date Signed: 01/12/2024 01:45:28 PM


Document Has Been Signed on 01/12/2024 01:45 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
013414408
ADMINISTRATOR:DIANA TOSTADOFACILITY TYPE:
850
ADDRESS:4727 CALAVERAS AVENUETELEPHONE:
(510) 791-2222
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:132CENSUS: 96DATE:
01/12/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Diana TostadoTIME COMPLETED:
01:55 PM
NARRATIVE
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On January 12th, 2024 at approximately 12:10pm, Licensing Program Analyst (LPA) April Wright conducted a Case Management inspection due to the center's lead testing results. LPA met with the Center Director Diana Tostado. Present during inspection were 96 preschool/toddler age children and 12 staff personnel. LPA toured the facility for health and safety inspection.

LPA discussed with the Center Director that Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first test. Health and Safety (HSC) Code section 1597.16 authorizes the Department to implement and administer procedures for lead testing at CCCs through written instructions until it adopts regulations under the Administrative Procedure Act. LPA discussed with the Center Director of the PIN 21-21-CCP - Release of the Written Directives for Lead Testing of Water in Licensed Child Care Centers Per AB 2370 https://cdss.ca.gov/Portals/9/CCLD/PINs/2021/CCP/PIN-21-21-CCP.pdf

Fixtures N and S (Kitchen sink faucet and Outside water fountain ) Samples #23I0939-02 and #23I0939-03 had a Lead Action Level of Exceedance Response of more than 5.5 ppb. Per Center Director, Fixture N (kitchen faucet ) was repaired and resolved in February 2023 and Fixture S (Outside water fountain) was replaced and but did not pass re-testing. Fixture S will be permanently removed by Kindercare Facilities Management. Work order for removal was placed on 1/12/2024 and Director will submit Proof of correction when completed. LPA observed the Fixture S was blocked and not accessible to children in care.

See LIC 809-D for deficiencies cited during today's inspection. Appeal rights provided. Exit interview was conducted with the Center Director Diana Tostado. A notice of site visit was provided and must be posted for 30 days.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:
DATE: 01/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/12/2024
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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Document Has Been Signed on 01/12/2024 01:45 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612


FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 013414408

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/09/2024
Section Cited
HSC
101700.3(b)(2)

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101700.3(b)(2) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.
This requirement is not met as evidenced by:
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LPA confirmed the Plan of Correction and advised Center Director to submit proof of permanent removal of Fixture S by 2/9/2024.
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Fixtures S (Outside water fountain) Sample #23I0939-03 had a Lead Action Level of Exceedance Response of more than 5.5 ppb, which poses a potential health, safety and personal rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:
DATE: 01/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/12/2024
LIC809 (FAS) - (06/04)
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