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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343602991
Report Date: 09/03/2021
Date Signed: 09/23/2021 09:22:19 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 09/23/2021 09:22 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:KINDERCARE LEARNING CENTER - LEXINGTON (PS)FACILITY NUMBER:
343602991
ADMINISTRATOR:JODY BRAUN DARONEFACILITY TYPE:
850
ADDRESS:295 S. LEXINGTON DRIVETELEPHONE:
(916) 983-6169
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY: 72TOTAL ENROLLED CHILDREN: 0CENSUS: 46DATE:
09/03/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Nancy GalvanTIME COMPLETED:
03:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Kelly Ferrara met with Assistant Director Nancy Galvan for an unannounced annual inspection on September 3rd, 2021. At 9:15 AM, LPA toured the facility including all activity and classroom spaces, restrooms, food service and outdoor play areas. Appropriate ratio and care and supervision were observed during today's inspection. Census included 46 preschool children being supervised by seven staff. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. Facility hours of operation are Monday through Friday from 6 AM to 6:30 PM..

Classrooms all appeared clean including the carpets and floor. Chemicals were kept inaccessible to children in a high cabinet. Playground equipment and surfaces were inspected and are in good condition with enough resilient material under climbing structures to absorb a fall. Uncontaminated drinking water was readily available to children both indoors and outdoors. Bathrooms were clean and all sinks and toilets were in operating condition. There are no firearms or bodies of water on the premises and the facility has at least one functioning smoke and carbon monoxide detector. Menus were posted for AM and PM snack and the children are provided lunches. LPA observed all required licensing documentation was posted for parental review. LPA observed that parents are signing their children in and out of the center electronically. LPA discussed current Covid guidelines with the Director.

At 11 AM, LPA reviewed staff transcripts and observed that an Aide without any completed coursework was in a classroom with a qualified teacher and both were supervising a group of 20 children. At least one staff had a current Pediatric CPR and First Aid certification that expires August 2023. At 11:30 AM, LPA observed that five out of 14 total files were missing a current Mandated Reporter certificate and six out of 14 total files were missing a Health Screen report (LIC503). At 12:30 PM, LPA observed a sample of preschool children's files. LPA observed that four out of eight files were missing the Physician's Report (LIC701) and seven out of eight files were missing the Immunization record (CDPH286). LPA observed a current children's roster and a fire/disaster drill log. Each classroom is equipped with First Aid equipment. Continued on 809-C

SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE: DATE: 09/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: KINDERCARE LEARNING CENTER - LEXINGTON (PS)
FACILITY NUMBER: 343602991
VISIT DATE: 09/03/2021
NARRATIVE
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Incidental Medical Services (IMS) are provided by this facility. For additional IMS information, Director was advised to see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

The facility evaluation report was reviewed and discussed with the Director. Director was encouraged to the visit the department's website at WWW.CCLD.CA.GOV for information regarding child care updates, PINs, forms, regulations and legislation pertaining to child care centers. A notice of site visit was provided and should remain posted for a period of 30 days for parental review.

See page 809 D for citations issued during today's inspection.
SUPERVISORS NAME: Maria Mayorga
LICENSING EVALUATOR NAME: Kelly Ferrara
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2021
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/23/2021 09:22 AM - It Cannot Be Edited


Created By: Kelly Ferrara On 09/03/2021 at 12:15 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
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: KINDERCARE LEARNING CENTER - LEXINGTON (PS)
FACILITY NUMBER: 343602991

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/10/2021
Section Cited
CCR
101216.3(b)

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(b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance.
This requirement was not met as evidenced by: LPA observed a staff with no college coursework supervising a group of 20 children with a qualified teacher. This is a potential health and safety risk to children in care.
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Assistant Director stated she rearranged the teachers for today so that staff to child ratio was in compliance. Assistant Director shall work with Director to put the Aide in a lower ratio class. Directors shall put staff schedule on a document to submit to LPA Ferrara.
Type B
09/24/2021
Section Cited
CCR
101216(g)(1)

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All personnel... shall be in good health and shall be physically and mentally capable of performing assigned tasks.1)...good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician. This requirement was not met: LPA observed 6/14 staff files missing LIC503 Health Screen.
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Director shall have required staff complete a Health Screen by their doctor and obtain proof of completed TB test by POC due date.
Type B
09/24/2021
Section Cited
HSC1596.8662(4)(b)(1)

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... licensed child day care facility shall complete the mandated reporter training...and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement was not met: LPA observed 5/14 staff files missing a current Mandated Reporter certificate.
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Mandated Reporter training can be found online at Mandatedreporterca.com, AB1207. Director shall obtain proof of online Mandated Reporter training for required staff by POC due date.
Type B
09/24/2021
Section Cited
CCR
101221(a)

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(a) A separate, complete and current record for each child is maintained in the child care center. This requirement was not met as evidenced by: Children's files were incomplete and missing forms LIC701 and CDPH286. This is a potential health and safety risk to children in care.
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Assistant Director stated she will work with parents to obtain all required documentation to put into children's files by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Maria Mayorga
LICENSING EVALUATOR NAME:Kelly Ferrara
LICENSING EVALUATOR SIGNATURE:
DATE: 09/03/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/03/2021


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