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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004986
Report Date: 11/03/2022
Date Signed: 11/03/2022 03:48:54 PM


Document Has Been Signed on 11/03/2022 03:48 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:
198004986
ADMINISTRATOR:MARICRUZ FLORESFACILITY TYPE:
850
ADDRESS:10704 SCOTT AVE.TELEPHONE:
(562) 947-7100
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY:66CENSUS: 19DATE:
11/03/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director Maricruz FloresTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced Case Management inspection due to an incident that occurred on 10/21/22 and was reported to the Department on 10/24/22. Due to COVID-19, a Covid risk assessment was completed, and precautionary measures were taken. LPA wore appropriate personal protective equipment. LPA met with Director, Maricruz Flores to whom the reason for the visit was explained. Census was taken.

On October 24, 2022 an unusual incident report was made to the Department regarding an incident that involved a child who sustained an injury that required medical attention. The facility reported this incident to the Department within the required 24 hours. Based on information obtained during interviews conducted with staff, and the injured child, LPA Babcock determined that during center play the child fell off a chair and an injury was sustained. Although staff were present they could not prevent the injury. Child was taken to the doctor and it was determined that the child's pinky finger was fractured. Child has returned to day care, although child has a splint for 2-3 weeks.


Based on information obtained during this investigation, no follow up is necessary regarding the incident reported. The facility followed all proper procedures; Staff administered first aid, child’s parent was notified, incident report was sent in properly and timely and all medical needs were met.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director, Maricruz Flores.

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2022
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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