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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401307
Report Date: 07/17/2025
Date Signed: 07/17/2025 05:58:44 PM

Document Has Been Signed on 07/17/2025 05:58 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
073401307
ADMINISTRATOR/
DIRECTOR:		PAMELA SOUZAFACILITY TYPE:
840
ADDRESS:4308 FOLSOM DRIVETELEPHONE:
(925) 754-3137
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY: 38TOTAL ENROLLED CHILDREN: 38CENSUS: 11DATE:
07/17/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Director Pamela SouzaTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) K. Canela arrived unannounced on 07/17/2025 at Kindercare Learning Center for the purpose of conducting Case Management - Deficiencies inspection. LPA arrived at the facility initially for an Annual Required Inspection of the Day Care Center Component, facility number 073401306. During the inspection LPA observed a deficiency accessible to school- age children in care.

LPA met with Director Pamela Souza, who has livescan fingerprint clearance. There are a total of 32 children currently enrolled in the school-age program. Present during today’s inspection for school- age children was: 1 teacher and 11 school-age children

Additionally in the facility were, 5 staff (4 fully qualified teachers and 1 assistant), 12 pre-schoolers, 22 pre-kindergarten, and a total 23 infants (under 24 months).



Report continued on LIC 809-C...
NAME OF LICENSING PROGRAM MANAGER: Monica Mathur
NAME OF LICENSING PROGRAM ANALYST: Karina Canela
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401307
VISIT DATE: 07/17/2025
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The following deficiency was observed during today's inspection:

Regulation Violation - 101238(g)(1) Buildings and Grounds:
LPA observed the kitchen, located adjacent to the school-age classroom, to be open and accessible to school-age children in care. The kitchen has a solid door which was propped open with a door stopper hinge (photos taken). LPA observed 3 (1 gallon) jugs of bleach (cleaner/poison) located under the open metal kitchen sink which does not have cabinets (photos taken). Additionally LPA observed 4 (1 quart) bottles of cleaning solutions and disinfectants located under the cabinet sink (for hand washing) on ground floor (photos taken). Cabinet sink was unlocked and does not have a locking mechanism.
11 School-age children were in the classroom adjacent to the kitchen which is separated by the kitchen door (which was open/unlocked). LPA observed 1 teacher supervising the 11 children in the classroom.
Interviews conducted revealed the kitchen door is left propped open and unlocked to give staff quick access for snacks and food for children. LPA observed a key lock mechanism on the kitchen door. However, staff were unsure if the kitchen door has a key or where the key was to lock the door.
LPA brought the violation to the attention of Director. LPA later observed 3 jugs of bleach were removed and placed in a locked cabinet at the end of the kitchen (near back door). The locked cabinet however, had the keys in the keyhole, allowing access to anyone entering the kitchen (photos taken). 4 bottles of cleaning solutions and disinfectants remained in the unlocked sink cabinet (photos taken with time stamp).

Facility received a Technical Violation (LIC 9102 form) for the following regulation: 101238 Buildings and Grounds (a)

Deficiencies cited (see LIC809-D page) from the California Code of Regulations, Title 22, Division 12, Chapter 1. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Appeal Rights Provided.

Exit interview conducted with Pamela Souza, Director, whose signature confirms receipt.

A notice of site visit was given and must remain posted for 30 consecutive days.

NAME OF LICENSING PROGRAM MANAGER: Monica Mathur
NAME OF LICENSING PROGRAM ANALYST: Karina Canela
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/17/2025 05:58 PM - It Cannot Be Edited


Created By: Karina Canela On 07/17/2025 at 12:30 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401307

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/25/2025
Section Cited
CCR
101238(g)(1)

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101238(g)(1) Buildings and Grounds -
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (1)Storage areas for poisons shall be locked. This requirement was not met as evidenced by:
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Director to submit detailed plan in writing of how they will lock poisons as well as keep cleaning solutions and disinfectants inaccessible to children in care. Director to submit photos of locked poisons and inaccessible storage of items which pose a danger to children. POC due by 07/25/2025
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Based on interview and observation, the Director did not comply with the section cited above due to 3, (1 gallon) bleach jugs and 4 (1 quart) bottles of cleaning solution observed in open kitchen accessible to children in care (photos taken)...
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.... [continued] which poses a potential health, safety or personal rights risk to persons in care.
Type B
07/25/2025
Section Cited
CCR101238.4(d)

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101238.4(d) Combustibles, cleaning equipment and cleaning agents shall be stored in an area separate from food supplies in a locked cabinet or in a location inaccessible to children. This requirement is not met as evidenced by:
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Director to submit detailed plan in writing of how they will comply with regulation of keeping cleaning agents supplies separate from food supplies in a locked cabinet. Director to submit photos of locked items & locking mechanism to CCLD. POC due by 07/25/2025
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Based on observation and interview, the licensee did not comply with the section cited above in 3 (1gallon) Bleach jugs and 4 (1 quart) cleaning solutions in unlocked kitchen and cabinet sink in kitchen, which poses a potential health, safety or personal rights risk to persons 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.
Monica Mathur
NAME OF LICENSING PROGRAM MANAGER:
Karina Canela
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/17/2025


LIC809 (FAS) - (06/04)
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