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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401322
Report Date: 06/13/2025
Date Signed: 06/13/2025 04:48:05 PM

Document Has Been Signed on 06/13/2025 04:48 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/
DIRECTOR:		ACOSTA, SELENEFACILITY TYPE:
850
ADDRESS:2300 MAHOGANY WAYTELEPHONE:
(925) 778-8888
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY: 95TOTAL ENROLLED CHILDREN: 62CENSUS: 42DATE:
06/13/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Toria ChatmanTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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On 06/13/2025 at 9:05 AM, Licensing Program Analysts (LPAs) Christina Watts and Karina Canela conducted a Case Management Inspection at Kindercare Learning Center #1039. LPA's met with Assistant Director, Toria Chatman and explained the purpose of today's inspection. Director Selene Acosta was not present during today's inspection. During today's visit, there are 49 preschool children with 11 staff in 5 classrooms. Asst Director stated there are 62 preschool children enrolled. All staff caring and supervising children Criminal Record Clearance.

LPAs are following up on a self reported incident. On 05/15/2025 around 11:45 AM/12:00 PM, interviews stated S1 was holding C1's hand to bring C1 to S3 to put a diaper on C1 before nap time. S2 stated they were talking to S4 when S1 slapped C1 in the face. Multiple staff interviews stated they heard C1 say "Oww". Multiple staff interviews stated they heard S1 say,"Oh be quiet. I didn't hit you that hard." Per California Code of Regulations, Title 22, staff are to treat children with dignity and respect and cannot slap a child at any time. During the investigation, staff interviews stated that S1 would leave children unsupervised when S1 would send a child to the restroom from outdoor play yard when S1 thought another staff member was inside to supervise the child. Staff interviews stated this has occurred about 2-4 times. Per California Code of Regulations, Title 22, children are to be supervised by staff at all times. Also, staff interviews stated that the staff informed the Director regarding S1 not taking the preschool children to the restroom and leaving the children unsupervised. Per California Code of Regulations, Title 22, The Director is required to report any unusual incidents that happened during hours of operation that threatens the physical or emotional health or safety of any child. Staff interviews also stated that S1 and S3 would yell and argue in front of daycare children. Interviews stated this has occurred around 2-5 times.
*CON'T ON PAGE 2*
NAME OF LICENSING PROGRAM MANAGER: Sherelle Johnson
NAME OF LICENSING PROGRAM ANALYST: Christina Watts
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2025
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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KINDERCARE LEARNING CENTER, #1039
FACILITY NUMBER: 073401322
VISIT DATE: 06/13/2025
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*PAGE 2*

Per California Code of Regulations, Title 22 states staff are to conduct themselves professionally and are not to yell and argue with staff in front of children. This facility is out of regulation in accordance to California Code of Regulations, Title 22.

LPA Christina Watts informed Asst Director Toria Chatman that this report dated 06/13/2025 documents 2 Type A citations which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Furthermore, LPA Watts informed the Asst Director to provide a copy of this licensing report dated 06/13/2025 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 (LIC 9224), or other written statement, must be placed in the child's file for verification.

LPA Christina Watts informed Asst Director Toria Chatman that this report dated 06/13/2025 documents 2 Type B citations. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care.


*SEE LIC 809-D FOR DEFICIENCIES*

Exit interview conducted and report was reviewed with the Assistant Director, Toria Chatman. A Notice of Site Visit was given and must remain posted for 30 consecutive days.

NAME OF LICENSING PROGRAM MANAGER: Sherelle Johnson
NAME OF LICENSING PROGRAM ANALYST: Christina Watts
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 06/13/2025 04:48 PM - It Cannot Be Edited


Created By: Christina Watts On 06/13/2025 at 03:00 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, #1039
FACILITY NUMBER: 073401322

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/16/2025
Section Cited
CCR
101223(a)(3)

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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain...or other actions of a punitive nature...This requirement has not been met as evidenced by:
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By 06/16/2025, Asst Director stated they will submit a written statement on how facility will come back into compliance. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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Based on interviews, the licensee did not comply with the section cited above when S1 slapped C1 in the face which poses an immediate risk to the health, safety or personal rights of children in care.
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Type A
06/16/2025
Section Cited
CCR101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (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...Supervision shall include visual observation.
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By 06/16/2025, Asst Director stated they will submit a written statement on how facility will come back into compliance. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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This requirement has not been met as evidenced by: Based on interviews, the licensee did not comply with the section cited above when S1 let children go inside the classroom to use the restroom alone on 2-4 occassions which poses an immediate risk to the health, safety or personal rights of children 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.
Sherelle Johnson
NAME OF LICENSING PROGRAM MANAGER:
Christina Watts
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/13/2025 04:48 PM - It Cannot Be Edited


Created By: Christina Watts On 06/13/2025 at 03:42 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, #1039
FACILITY NUMBER: 073401322

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/27/2025
Section Cited
CCR
101223(a)(1)

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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement has not been met as evidenced by:
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By 06/27/2025, Asst Director stated they will conduct a Staff Meeting and submit an agenda and sign in sheet to licensing. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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Based on interviews, the licensee did not comply with the section cited above S1 and S3 were yelling and arguing in front of daycare children which poses an potential risk to the health, safety or personal rights of children in care.
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Type B
06/27/2025
Section Cited
CCR101212(d)(1)(C)

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101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events...a report shall be made to the Department by telephone or fax within the Department's next working day...(1) Events reported shall include the following: (C) Any unusual incident...
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By 06/27/2025, Asst Director stated they will conduct a Staff Meeting and submit an agenda and sign in sheet to licensing. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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This requirement has not been met as evidenced by: Based on interviews, the licensee did not comply with the section cited above Director failed to inform licensing of 2-4 occurances of lack of supervision which poses an potential risk to the health, safety or personal rights of children 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.
Sherelle Johnson
NAME OF LICENSING PROGRAM MANAGER:
Christina Watts
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2025


LIC809 (FAS) - (06/04)
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