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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
334804441
Report Date:
11/09/2021
Date Signed:
11/09/2021 10:36:34 AM
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office
,
3737 MAIN STREET, STE 700
RIVERSIDE
,
CA
92501
FACILITY NAME:
KINDERCARE LEARNING CENTER
FACILITY NUMBER:
334804441
ADMINISTRATOR:
FLORES, BLANCA
FACILITY TYPE:
850
ADDRESS:
24369 SKYVIEW RIDGE DRIVE
TELEPHONE:
(951) 696-0825
CITY:
MURRIETA
STATE:
CA
ZIP CODE:
92562
CAPACITY:
72
CENSUS:
48
DATE:
11/09/2021
TYPE OF VISIT:
Case Management - Incident
UNANNOUNCED
TIME BEGAN:
09:35 AM
MET WITH:
Blanca Flores
TIME COMPLETED:
10:45 AM
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Licensing Program Analyst (LPA) James Wilkerson arrived at this facility to follow-up on an incident report. LPA interviewed two staff and obtained a copy of a facility document.
There is additional information needed to conclude the follow-up and the incident report will be closed out ona later date.
An exit interview was conducted and a copy of this report was provided to Ms. Flores on this date.
SUPERVISOR'S NAME:
Carlos Martinez
TELEPHONE:
(951) 782-4950
LICENSING EVALUATOR NAME:
James Wilkerson
TELEPHONE:
(951) 218-7031
LICENSING EVALUATOR SIGNATURE:
DATE:
11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/09/2021
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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