Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073401313
Report Date: 02/04/2016
Date Signed 02/04/2016 02:24:58 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
073401313
ADMINISTRATOR:ZIMMERMAN, PAULAFACILITY TYPE:
840
ADDRESS:150 EAST LELAND ROADTELEPHONE:
(925) 432-8800
CITY:PITTSBURGSTATE: CAZIP CODE:
94565
CAPACITY:24CENSUS: 5DATE:
02/04/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:PAULA ZIMMERMANTIME COMPLETED:
02:30 PM
NARRATIVE
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(3)LPA Tasha Alexander met today with Director Paula Zimmerman for an unannounced ANNUAL/RANDOM visit. LPA toured the facility and play yard for a health and safety inspection. A review of staff records on 00/00/00 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Personnel files were reviewed. The teacher/child ratio was being met. Children's files were reviewed. The classroom(s) and play yard were age appropriate and in good repair. Bathroom is clean and in working order. Breakfast, Lunches and snacks are provided by the facility. The kitchen area was maintained in a clean manner. There is an adequate variety and quantity of food/snacks available; menu was posted. The sign in and out logs were reviewed. All posting requirements are being met. Outdoor play area was free of hazards and provided a shaded area for the children and access to drinking water. Medications, when dispensed, are stored in the kitchen in a locked box. There is a working telephone at the facility. Opening and closing staff have current CPR and 1st Aid training 2/2017 respectively.

Applicant was instructed on the law establishing a $100 fine per day for adults who are providing care who do not have fingerprint clearances.

The attached type A deficiencies are cited today and must be corrected by the due date.

An exit interview was conducted. This report must be available for public review for 3 years. A notice of site visit was posted.

The LIC 9224 Acknowledgement of Receipt Of Licensing Reports has been given and explained. A copy of this report is to be given to each child's parent/guardian by the next business day and a signed copy of the LIC 9224 is to be put into their child's file. A copy of this report is also to be given to any newly enrolled child's parent/guardian for up to one year. This report is to be posted at this facility for 30 days.

Incidental Medical Services were discussed with the licensee. The licensee is not providing IMS (Incidental Medical Services) at this time. Licensee will submit an updated plan of operation if in the future they provide any IMS services to a child in care.

PLEASE SEE 809-D FOR CITATION
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2016
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073401313
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/04/2016
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/08/2016
Section Cited
101170(e)(2)
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101170(e)(2) Criminal Record Clearance. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall request a transfer of a criminal record clearance from another facility or Trustline.

TODAY TEACHER LAQUITA SMITH HAS NOT BEEN ASSOCIATED TO THE FACILITY AS A FINGER PRINT CLEARED ADULT ALLOWED TO WORK AT THE FACILITY
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LICENSEE WILL SUBMIT A TRANSFER CLEARANCE REQUEST TO COMMUNITY CARE LICENSING FOR LAQUITA SMITH. MS. SMITH IS NOT ALLOWED TO RETURN TO WORK UNTIL SHE HAS BEEN ASSOCIATED TO THIS FACILITY.

TODAY A CIVIL PENALTY OF $500 WILL BE ASSESSED. PLEASE SEE LICV421B FOR CIVIL PENALTY
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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: Diane PerezTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2016
LIC809 (FAS) - (06/04)
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