<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013412605
Report Date: 03/20/2023
Date Signed: 03/20/2023 01:29:58 PM

Document Has Been Signed on 03/20/2023 01:29 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
013412605
ADMINISTRATOR:TYWANDA BENNETTFACILITY TYPE:
850
ADDRESS:3760 BROCKTON DRIVETELEPHONE:
(925) 846-1240
CITY:PLEASANTONSTATE: CAZIP CODE:
94588
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 101DATE:
03/20/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:43 PM
MET WITH:Tywanda Hope BartlowTIME COMPLETED:
02:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On March 20, 2023 at approximately 12:40 PM Licensing Program Analyst (LPA) Lorraine Dacanay Breaux arrived to conduct and Unannounced Case Management - Lead Testing Results for KinderCare Learning Center. LPA met with Director Tywanda Hope Bartlow to review the results of the recent lead testing. There were 101 children in care and 20 associated staff members.

LPA conducted an inspection and toured the premises with director. It was indicated that 3 outlets exceeded the Action Level established by the stated for exposure. LPA discussed Plan of Correction and facility has submitted the documentation for the post-testing requirements.

On December 10, 2022 a lead test sample was drawn at the facility. There were values greater than 5.5 ppb is deemed an Action Level Exceedance and requires the issuance of a deficiency and a Plan of Correction.

The faucets A have not been in use (only use for hand washing), and water fountains R and S. In addition, children bring their own bottled water from home and when needed staff refill from another area of the facility.

LPA viewed a plan of correction and the lead testing results posted in a public area. All parents have been informed of the test results and received a copy of the plan of action.

In addition to the above, a Type B deficiency and plan of correction was documented and issued today, see LIC809D. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the director Hope Bartlow.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2023
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
Document Has Been Signed on 03/20/2023 01:29 PM - It Cannot Be Edited


Created By: Lorraine Dacanay-Breaux On 03/20/2023 at 12:56 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 013412605

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/20/2023
Section Cited
CCR
101238(a)

1
2
3
4
5
6
7
101239(a) Building and grounds- the child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well being of children, employees and visitors.
1
2
3
4
5
6
7
The director states that the plan of correction is that the facility does not use the 2 water fountains, children bring their water bottles from home and another area is used to refill the water bottles as needed. The sink "A" is only used for hand washing. Report has been posted and parents notifed per director.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: Based on observation and documentation of the Lead Testing Result, the facility has 3 (three) water outlets that exceeds the 5PPB level.
8
9
10
11
12
13
14
Director submitted via email photos and report summary. Director will update LPA via email by April 20, 2023 if the facility will remove and/or replace the two outdoor water fountains. The indoor sink near the infant classroom is only used for hand washing.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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 Charles
LICENSING EVALUATOR NAME:Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:
DATE: 03/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/20/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2