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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401322
Report Date: 12/01/2023
Date Signed: 12/01/2023 04:11:31 PM

Document Has Been Signed on 12/01/2023 04:11 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, 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: 95CENSUS: 44DATE:
12/01/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Selene AcostaTIME COMPLETED:
04:00 PM
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On 12/01/2023 at 3:00 PM, Licensing Program Analysts (LPA) Christina Watts conducted an unannounced Case Management at Kindercare Learning Center, #1039. LPA met with Asst Director, Selene Acosta and explained the purpose of today's inspection. During today's inspection, there were 44 preschool aged children with 9 staff in 3 classrooms. Asst Director stated there 95 preschool children enrolled. All staff caring and supervising children have Criminal Record Clearance.

LPA is following up on an self reported Unusual Incident Report (UIR). During the course of the investigation of Unusual Incident, LPA inspected the facility, reviewed records and conducted interviews. It was determined that facility was in compliance with California Code of Regulation, Title 22. LPA reminded Asst Director to avoid incidents where children's personal rights could potentially be violated.

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

Exit interview conducted and report was reviewed with the Asst Director, Selene Acosta. Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 12/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/01/2023
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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