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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343615313
Report Date: 04/05/2024
Date Signed: 04/05/2024 02:03:05 PM

Document Has Been Signed on 04/05/2024 02:03 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/
DIRECTOR:		CHAVEZ, ANGELAFACILITY TYPE:
850
ADDRESS:9250 ELK GROVE FLORIN ROADTELEPHONE:
(916) 714-2772
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY: 104TOTAL ENROLLED CHILDREN: 104CENSUS: 57DATE:
04/05/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Alejandra ParedesTIME VISIT/
INSPECTION COMPLETED:
02:20 PM
NARRATIVE
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On 04/05/2024, 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 57 children and 8 staff.

During the facility inspection, LPA observed 7 school aged students and 2 preschool children in a preschool licensed classroom which poses an immediate health, safety or personal rights risk to persons in care. LPA did a file review and verified the ages and enrollments of the children.

A Title 22 deficiency has 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: 04/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/05/2024
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 04/05/2024 02:03 PM - It Cannot Be Edited


Created By: Jennie Tedlos On 04/05/2024 at 12:22 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: 04/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/08/2024
Section Cited
CCR
101538.3(b)

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101538.3 Indoor Activity Space for School-Age Children...(b) In combination programs, indoor activity space provided for school-age... children shall be physically separated from space provided for... child care center children.
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Subsitute Director (SD) will separate the school aged children into the School Age Room. LPA will conduct an unannounced follow up inspection to clear the POC.
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This requirement was not met as evidenced by:
Based on observation and file review, the facility comingled preschool and school aged children which poses an immediate 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: 04/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/05/2024


LIC809 (FAS) - (06/04)
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