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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401322
Report Date: 11/17/2023
Date Signed: 11/17/2023 10:55:05 AM

Document Has Been Signed on 11/17/2023 10:55 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:KINDERCARE LEARNING CENTER, #1039FACILITY NUMBER:
073401322
ADMINISTRATOR:SAUTER, LISAFACILITY TYPE:
850
ADDRESS:2300 MAHOGANY WAYTELEPHONE:
(925) 778-8888
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY: 95TOTAL ENROLLED CHILDREN: 50CENSUS: 28DATE:
11/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Selene AcostaTIME COMPLETED:
11:00 AM
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On 11/17/2023 at 9:00 AM, Licensing Program Analyst (LPA) Christina Watts conducted a Case Management Inspection at Kindercare Learning Center, #1039. LPA met with Acting Director, Selene Acosta and explained the purpose of this visit. Present during inspection were 28 children preschool with 6 staff in 3 classrooms. All staff present have Criminal Record Clearance.

LPA is following up on an self reported Unusual Incident that occur in the facility on November 1, 2023. Facility reported P1 was aggressive towards S1 and Police were called to the facility. LPA toured the facility, observed classrooms, conducted interviews and obtained relevant documents. Based on information obtained, this incident NEEDS FURTHER INVESTIGATION.

During today's inspection, there were no violations observed.

Exit interview conducted and report was reviewed with Acting Director, Selene Acosta. A Notice of Site Visit was given and must remain posted for 30 consecutive days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2023
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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