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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005944
Report Date: 11/17/2020
Date Signed: 11/17/2020 09:35:16 AM

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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198005944
ADMINISTRATOR:BERNICE GONZALEZFACILITY TYPE:
850
ADDRESS:5251 E. LAS LOMASTELEPHONE:
5629618882
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:105CENSUS: DATE:
11/17/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Regina Ramirez, Center DirectorTIME COMPLETED:
10:00 AM
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Due to COVID-19 and precautionary measures, Licensing Program Analyst (LPA) T. Tran delivered the Incident Report by use of via email to Regina Ramirez, Center Director on 11/17/2020.

Licensing Program Analyst (LPA) T. Tran conducted a Case Management Incident by via telephone to follow up on a self-reported incident on 06/19/2020 regarding an enrolled child injured the finger when the classroom door closes. Based on the available information, this was an accidental incident. On the day of the incident, there was a teacher supervised five children in care. Parent was contacted and medical attention required. Child's finger was not broken and no stitches required. Child did not missed any day of school and no special accommodation plan needed. Therefore, this incident was not result of the Title 22 Regulations for Lack of Care and Supervision violation. No deficiency was cited.

Exit interview was conducted with the noted person by via telephone during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to licensee by via email with a read receipt or confirmation of receipt of email, which will act as the center director's signature.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2020
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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