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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401317
Report Date: 04/18/2023
Date Signed: 04/18/2023 11:35:30 AM

Document Has Been Signed on 04/18/2023 11:35 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:KINDERCARE LEARNING CENTER, #1367FACILITY NUMBER:
073401317
ADMINISTRATOR:BETTS, LAWANDAFACILITY TYPE:
830
ADDRESS:3240 SAN PABLO DAM ROADTELEPHONE:
(510) 222-1144
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY: 33TOTAL ENROLLED CHILDREN: 33CENSUS: 16DATE:
04/18/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
10:29 AM
MET WITH:Lawanda (Wanda) BettsTIME COMPLETED:
11:50 AM
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On Tuesday, April 18, 2023 at 10:29 AM, Licensing Program Analyst (LPA) Caroline Colson met with Wanda Betts, Center Director, for a case management inspection for Lead Testing/Exceedance. There are 16 infants and 5 staff members including center director. A tour of the sink was conducted. Test Results were obtained. Additional documentation was received. It was concluded that there is one sink faucet that had elevated lead levels established by a certified independent water sampler. The faucet was removed and is no longer in use.

There were no deficiencies cited during the inspection.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Wanda Betts, Center Director.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2023
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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