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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013412608
Report Date: 09/27/2024
Date Signed: 09/27/2024 01:47:25 PM

Document Has Been Signed on 09/27/2024 01:47 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:
013412608
ADMINISTRATOR/
DIRECTOR:		JAMIE CZELUSNIAKFACILITY TYPE:
850
ADDRESS:4655 LASSEN ROADTELEPHONE:
(925) 455-1560
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY: 72TOTAL ENROLLED CHILDREN: 38CENSUS: 31DATE:
09/27/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:37 AM
MET WITH:Molly GalandiTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On 9/27/2024 at 11:37am Licensing Program Analyst (LPA) Morgan Pringle met with Director Molly Galandi for an Unannounced Case Management visit. An unusual incident was self reported by the facility on 9/23/2024 regarding a child left alone outside on the playground. Present during the visit were thirty-one (31) preschool age children and four (4) additional staff members. Facility is dual licensed and holds a license for infants (013412610) as well.

Incident: On 9/20/2024 around 4:48pm nine (9) children and one (1) staff member (T1) were transitioning from the second play yard on the left side of the building to inside the building and one child (C1) was unknowingly left outside for approximately two (2) minutes. An incoming parent saw C1 outside and immediately brought it to another teachers (T2) attention. T2 brought C1 inside and C1 was returned to their classroom. Director immediately addressed the situation with T1, and C1's parent, and the facility has implemented a plan to ensure extra supervision is had when teachers are transitioning children from one area to another. Director stated all staff at the facility were spoken to about supervision and informed on the structure of the new transition plan that has been put in place.

Due to the lack of supervision, the facility is being issued a Type A Violation today and a $500.00 civil penalty is also being assessed. LPA Pringle informed Director that this report dated 9/27/2024 document(s) 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.



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SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2024
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 013412608
VISIT DATE: 09/27/2024
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Also, LPA Pringle informed the Director to provide a copy of this licensing report dated 9/27/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC9224), or other written statement, must be placed in the child's file for verification.

Notice of site visit was given and must remain posted for 30 days.



Failure to comply with posting requirements shall result in the immediate civil penalty of $100. Exit interview and report was reviewed with Director Molly Galandi.

















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SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/27/2024 01:47 PM - It Cannot Be Edited


Created By: Morgan Pringle On 09/27/2024 at 12:43 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: 013412608

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/30/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision. 101229(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...This requirement was not met as evidenced by:
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Director has implemented a plan for extra supervision during transition times. Before a class transitions from one place to another, management or a senior staff will be called to physically check the area to ensure all children are accounted for.
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One (1) child was unknowingly left outside alone without adult supervision. This poses an immediate risk to the health, safety, and/or personal rights of the children in care.
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Director will send LPA Pringle a written statement explaining the new transition procedures and which staff are allowed to verify a safe transition by POC date.

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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:Jason Jang
LICENSING EVALUATOR NAME:Morgan Pringle
LICENSING EVALUATOR SIGNATURE:
DATE: 09/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/27/2024


LIC809 (FAS) - (06/04)
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