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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270394
Report Date: 04/01/2021
Date Signed: 04/01/2021 10:18:23 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270394
ADMINISTRATOR:IRIS RAMIREZ ANTUNAFACILITY TYPE:
840
ADDRESS:1 BEARPAWTELEPHONE:
(949) 552-3222
CITY:IRVINESTATE: CAZIP CODE:
92604
CAPACITY:14CENSUS: 10DATE:
04/01/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Iris Antuna, DirectorTIME COMPLETED:
10:45 AM
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LPA Valencia conducted a Case Management inspection, on today's date 4/1/2021. The purpose of today's Case Management inspection is to deliver and obtain a signature on an amended LIC9099C Complaint Report. This report and the amended report were discussed, and both reports were signed and a copy left with director. Exit Interview was conducted.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean ValenciaTELEPHONE: (714) 215-6737
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2021
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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