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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434408011
Report Date: 07/16/2021
Date Signed: 07/16/2021 12:27:48 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:
434408011
ADMINISTRATOR:POPOVICH, SARAHFACILITY TYPE:
830
ADDRESS:1515 S. DE ANZA BLVDTELEPHONE:
(408) 861-9510
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:56CENSUS: 18DATE:
07/16/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Sarah PopovichTIME COMPLETED:
10:30 AM
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Licensing Program Analysts (LPAs), Marilou Monico and Cortney Nelson, met with Site Director, Sarah Popovich, and conducted a case management inspection in response to licensee's request to change the capacity from 56 to 32 children. LPAs toured the facility both inside and outside.

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: 37.830 x 21.166 = 800.709 minus 48.324 ( encumbered space) = 752.385
TOTAL INFANT/TODDLER INDOOR SPACE: 1391.394 divided by 35 = 39 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) 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 products are stored in a locked upper cabinet in each room. There are 40 cubbies, 20 chairs, 8 high chairs, 6 tables, 20 cots, and 16 cribs for the daycare children. Each room has a diaper changing table within arm's reach of a sink.

REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 07/16/21):
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou MonicoTELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: 07/16/2021
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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 07/16/21):

A license for 32 children in the infant program will be approved upon receipt of the following:
1) Waiver request to be licensed for 32 children even the playground is only measured for 28

2) Playground schedule

2) Approved fire clearance


A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou MonicoTELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
LIC809 (FAS) - (06/04)
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