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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483001838
Report Date: 12/04/2024
Date Signed: 12/04/2024 05:15:57 PM

Document Has Been Signed on 12/04/2024 05:15 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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
483001838
ADMINISTRATOR/
DIRECTOR:		FIELDS, DONJEFACILITY TYPE:
850
ADDRESS:35 ROTARY WAYTELEPHONE:
(707) 557-3007
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 56DATE:
12/04/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:28 PM
MET WITH:Justice WillisTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
NARRATIVE
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On 12/04/2024 at 2:28pm an unannounced case management deficiencies visit was conducted. Licensing Program Analyst (LPA), Cindy Castro was greeted by facility Cook, which informed LPA that Center Director (CD), Justice Willis was at a meeting. Facility Cook provided LPA the names of the two Lead Teachers left in charge.

At 2:32pm while conducting census of facility classrooms. LPA observed Teacher (T1) in Discovery Preschool left alone with 20 children during naptime hours, 4 children were awake, 1 child was laying in napping cot awake, 1 child was walking in the classroom and using the bathroom and 2 children were playing with toys. T1 stated that Lead Teacher (T2) was out on her lunch break and would not be back for another 20-25minutes. LPA then requested to speak with the other Lead Teacher (T3) and was told by Teacher (T4) that T3 had left the facility for the day. T1 contacted T2 by text to return from her lunch, at 2:48pm T2 arrived at the facility Discovery Preschool Classroom to maintain ratio. At 2:51pm LPA phone called CD who told LPA that she was an hour away from the center but would be returning. LPA informed CD of Activities 101230 (C), Title 22 Regulation for a Child Care Center. Center Director arrived at the facility at 4:14pm.

The following violations of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided and discussed.

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.

Exit interview conducted, and report was reviewed with Center Director, Justice Willis.

SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2024
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 12/04/2024 05:15 PM - It Cannot Be Edited


Created By: Cindy Castro On 12/04/2024 at 04:18 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: 12/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/18/2024
Section Cited
CCR
101230(c)

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101230 Activities (c) 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 was not met as evidence by:
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Center Director (DC) stated that she will have a conversation with the Teachers that are left in charge in CD absence to clarify their roles and responsibilities. CD will create an updated lunch break schedule to ensure that Teachers in the DP Classroom
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Based on observations by LPA at 2:32pm while conducting a census of facilty. One Teacher was left alone with 20 children during naptime with 4 children awake,which poses/posed a potential health, safety or personal rights risk to persons in care.
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are able to take their lunch breaks and have a back up staff readily available at center to cover. CD will submit schedule to the Department via mail, email or fax by 12/18/24.
email: cindy.castro@dss.ca.gov

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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:Erin Virrueta
LICENSING EVALUATOR NAME:Cindy Castro
LICENSING EVALUATOR SIGNATURE:
DATE: 12/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/04/2024


LIC809 (FAS) - (06/04)
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