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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343615313
Report Date: 03/27/2024
Date Signed: 03/27/2024 01:15:40 PM

Document Has Been Signed on 03/27/2024 01:15 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: 49DATE:
03/27/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Alejandra ParedesTIME COMPLETED:
01:30 PM
NARRATIVE
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On 03/27/2024, Licensing Program Analysts (LPA) Jennie Tedlos and Licensing Program Manager (LPM) Karyn Guerra conducted a case management inspection at the facility. LPAs met with Substitute Director, Alejandra Paredes. At time of arrival LPA observed 49 children and 8 staff.

During the facility inspection, staff files were reviewed. LPA did not observe updated personnel files showing the required educational documentation for staff which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and file review, the center's Director has been on leave since late January 2024. The facility did not obtain a fully qualified substitute director in the absence of the center's Director which poses a potential health, safety or personal rights risk to persons in care.

Two Title 22 deficiencies have been cited on subsequent page, LIC 809D.

An exit interview was conducted, and a Plan of Correction was reviewed and developed with the Substitute Director, Alejandra Paredes. A copy of this report and appeal rights were discussed and left with Substitute Director. A Notice of Site Visit was posted by LPA’s and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Jennie Tedlos
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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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Document Has Been Signed on 03/27/2024 01:15 PM - It Cannot Be Edited


Created By: Jennie Tedlos On 03/27/2024 at 12:23 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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: KINDERCARE LEARNING CENTER - ELK GROVE FLORIN
FACILITY NUMBER: 343615313

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/26/2024
Section Cited
CCR
101215.1(f)(1)

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101215.1 Child Care Center Directors Qualifications and Duties...(f)When the child care center director is absent.., arrangements shall be made for a fully qualified teacher... to act as substitute...(1)If the child care center director is absent for more than 30 ... days, the substitute director
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The facility will gather the required documents for the Substiture Director, Alejandra Paredes, director's packet and submit the packet to LPA, Jennie Tedlos by the POC due date.
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shall meet the qualifications of a director.
This requirement was not met as evidenced by:
Based on file review, the facility did not have a fully qualified substitute director which poses a potential health, safety, or personal rights risk to children in care.
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Type B
04/26/2024
Section Cited
CCR101217(a)(6)

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101217 Personnel Records...(a)The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following...(6) Documentation of the educational background, training and/or experience specified in this chapter.
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The facility will update personnel files to show the required staff qualifications. LPA will conduct a follow up inspection to clear the POC.
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This requirement was not met as evidenced by:
Based on file review, the facility did not have updated personnel files showing the required educational qualifications for staff which poses a potential health, safety, or personal rights risk to 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.
SUPERVISOR'S NAME:Karyn Guerra
LICENSING EVALUATOR NAME:Jennie Tedlos
LICENSING EVALUATOR SIGNATURE:
DATE: 03/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/27/2024


LIC809 (FAS) - (06/04)
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