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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003115
Report Date: 04/24/2023
Date Signed: 04/25/2023 12:22:21 PM


Document Has Been Signed on 04/25/2023 12:22 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198003115
ADMINISTRATOR:GARCIA, MELISSAFACILITY TYPE:
830
ADDRESS:1175 VIA VERDETELEPHONE:
(909) 592-2220
CITY:SAN DIMASSTATE: CAZIP CODE:
91773
CAPACITY:44CENSUS: 27DATE:
04/24/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Melissa Garcia and Angel HailiTIME COMPLETED:
06:25 PM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management inspection at the above facility on 04/24/23 at 08:25AM. A COVID-19 risk assessment was conducted prior to entering the facility. LPA wore appropriate personal protective equipment. The purpose of this inspection is to follow up on an unusual incident report that occurred on 04/18/23. The facility reported this incident to the Department within the required 24 hours. Upon arrival LPA met with Assistant Director Angel Haili who guided LPA on a tour of the facility. Director Melissa Garcia later arrived at 9:00AM. Census was taken.

On 04/18/23, an incident was self-reported to the Department via telephone by the facility who reported, staff alleges that a child's personal rights were violated by staff while in care. The anonymous employee left no details. The purpose of the inspection was to obtain additional information regarding the allegation reported to the Department.

During the inspection, LPA conducted interviews with Director and staff who made no disclosures. The alleged incident happened over a year ago and there were no witnesses. Alleged staff 1 (S1) has been on family leave for over a year.

This agency has investigated the allegation of a personal rights violation. We have found that based on all information obtained and interviews conducted no follow-up is necessary regarding the incident. There is not a preponderance of evidence to prove the alleged violation did or did not occur.

There are no deficiencies being cited.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative, a civil penalty of $100 can be assessed.

Exit Interview was conducted, and appeal rights were given, along with a copy of this report was provided to the Director, Melissa Garcia.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Veronica Martinez-GarzaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 04/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/24/2023
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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