<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483001838
Report Date: 08/07/2023
Date Signed: 08/07/2023 04:46:10 PM

Document Has Been Signed on 08/07/2023 04:46 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001838
ADMINISTRATOR:FIELDS, DONJEFACILITY TYPE:
850
ADDRESS:35 ROTARY WAYTELEPHONE:
(707) 557-3007
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY: 72; 72TOTAL ENROLLED CHILDREN: 67CENSUS: 57DATE:
08/07/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Donje Fields - Center DirectorTIME COMPLETED:
03:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA), Melchisedeck Augustin conducted a Plan of Correction (POC) visit to verify the facility's teacher-child ratio and follow up to a type B citation the facility received on 05/17/23 due to water lead testing results received from the California State Water Resource Control Board which showed lead exceedance. As a result of a substantiated complaint investigation which confirmed the classroom operated out of ratio. On 06/30/23, the facility submitted a written plan which detailed that staff received information on the ratio requirements and moving forward, staff are to notify management via walke talkies or telephone if the classroom is one child away from reaching the teacher-child ratio. Furthermore, staff would request for families to wait until additional staff arrived, and staff would not accept additional children in the classroom to prevent further violation(s) of ratio requirements, and if multiple staff called off, there were two Center Directors on standby to provide support.


During today's visit, LPA observed one teacher supervising 25 children napping in the Discover Preschool (DP) classroom, one teacher supervising 15 children napping in the Preschool class, and an Aide supervising 17 children napping in the Pre-K class. Based on LPA’s observation, the DP class did not comply with the requirements of the teacher-child ratio which requires the facility to comply with California Code of Regulations, 101230(c) which mandates a teacher-child ratio of one teacher supervising 24 children napping.

The test results from the California State Water Resource Control Board showed that the following faucet tested above the allowable level (5.5 ppb) of lead in the water: Sample site, "A", is a sink located in the hallway outside the "Infant classroom", had a reading of 19.8 ppb and Sample site, “D”, is a hand washing station that is located in the “kitchen” had a reading of 6.3 ppb, and Sample site, “G”, is located in a preschool classroom; had a reading of 12.0 ppb. All other sources of water that were tested had a reading below the allowable level of 5.5ppb. (Continue to LIC 809-C)
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2023
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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001838
VISIT DATE: 08/07/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The sink in the hallway outside the “Infant classroom” was removed and according to the Center Director, a plumber worked on, changed, flushed, retested for lead on 08/04/23, and remediated the plumbing for sample sites, “D” & G.


Exit interview conducted and report was reviewed with the Center Director, Donje Fields. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. The following violation(s) of the California Code of Regulations, Title 22; Division 12, Chapter 1, Article 06 observed during today’s visit. See LIC 809-D. Appeal Rights were provided.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 08/07/2023 04:46 PM - It Cannot Be Edited


Created By: Melchisedeck Augustin On 08/07/2023 at 03:32 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
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 483001838

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/17/2023
Section Cited
CCR
101230(c)

1
2
3
4
5
6
7
A teacher-child ratio of one teacher supervising 24 napping children is permitted provided that the remaining teachers necessary to meet the overall ratio specified in Section 101216.3(a) are immediately available at the center.

This requirement is not met as evidenced by: Based on LPA's observations of one teacher supervising 25 children napping in the
1
2
3
4
5
6
7
Center Director stated that currently parents are allowed to drop their children off any time and there is not cut off time, and Center Director will speak with the facility's area leader to discuss implementing a cut in the children's drop off time. Center Director intends to submit a written plan detailing how the facility intends
8
9
10
11
12
13
14
Discover Preschool (DP) classroom which posed a potential health, safety and/or personal rights risk to the children in care.
8
9
10
11
12
13
14
to comply with CCR 101230(c), and the Center Director intends to submit the POC to the Department by 08/17/23 via mail, email or fax.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Leslie Lepori
LICENSING EVALUATOR NAME:Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:
DATE: 08/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/07/2023


LIC809 (FAS) - (06/04)
Page: 3 of 3