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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343615313
Report Date: 09/20/2023
Date Signed: 09/20/2023 04:08:10 PM

Document Has Been Signed on 09/20/2023 04:08 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:KINDERCARE LEARNING CENTER - ELK GROVE FLORINFACILITY NUMBER:
343615313
ADMINISTRATOR:CHAVEZ, ANGELAFACILITY TYPE:
850
ADDRESS:9250 ELK GROVE FLORIN ROADTELEPHONE:
(916) 714-2772
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY: 104TOTAL ENROLLED CHILDREN: 104CENSUS: 46DATE:
09/20/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Suzie CervantesTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Jennie Tedlos and Licensing Program Manager Bettina Engelman met with Acting Director Suzie Cervantes to follow up on the Unusual Incident Report (UIR) submitted to Community Care Licensing on September 19, 2023. LPAs arrived at the facility and disclosed the purpose of the inspection and were granted entrance. Criminal background clearances were verified.

LPA conducted staff interviews, reviewed records, and observed care and supervision of children. LPA requested a copy of the Facility Roster.


Facility evaluation report was reviewed and discussed with Acting Director, Suzie Cervantes. Exit interview was conducted. A Notice of Site Visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

In the areas that were evaluated, no deficiencies were cited during today's inspection.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE: DATE: 09/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/20/2023
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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