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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603023
Report Date: 08/22/2024
Date Signed: 08/22/2024 02:43:51 PM

Document Has Been Signed on 08/22/2024 02:43 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:KINDERCARE LEARNING CENTER - VINTAGE PARK (SA)FACILITY NUMBER:
343603023
ADMINISTRATOR/
DIRECTOR:		ROMERO, TIAFACILITY TYPE:
840
ADDRESS:8887 VINTAGE PARK DR.TELEPHONE:
(916) 682-1111
CITY:SACTO.STATE: CAZIP CODE:
95828
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 13DATE:
08/22/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Tia RomeroTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On August 22nd 2024 at 1:45pm, Licensing Program Analyst (LPA) Mandie Goodwin met with Director Tia Romero for an unannounced case management inspection regarding a self reported unusual incident which occurred on 8/5/24. Upon arrival there were 13 school age children supervised by 2 teachers. During today's inspection LPA conducted interviews and made observations.

On 8/6/24 Facility self reported that on 8/5/24 Child #1 was running inside the classroom when he tripped on the carpet and hit his cheek on a nearby shelf. Staff observed the incident and provided the child with ice and contacted the child's parent. The parent came and checked the child. When the child continued to experience discomfort they contacted the parent again and the parent took the child to the emergency room where the child was diagnosed with a bruise to their gum line area and had bit the inside of their cheek.

Based on observations and interviews it was determined that no Title 22 violations took place. No title 22 deficiencies are cited. Exit interview was conducted with Director Tia Romero and notice of site visit was provided.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2024
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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