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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334808839
Report Date: 07/13/2023
Date Signed: 07/13/2023 01:16:09 PM


Document Has Been Signed on 07/13/2023 01:16 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334808839
ADMINISTRATOR:IVAMAE HANEYFACILITY TYPE:
850
ADDRESS:1655 HIDDEN VALLEY PARKWAYTELEPHONE:
(951) 898-5677
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:102CENSUS: 64DATE:
07/13/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Ivamae Haney, DirectorTIME COMPLETED:
01:24 PM
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Licensing Program Analysts (LPAs) Elyse Jones and Blanca Ruiz arrived at the facility to conduct a Case Management inspection in response to the receipt of an Unusual Incident Report (UIR) from the facility. A facility tour was given and census were taken. Interview was conducted and records were requested.

The UIR was received by the facility on June 29, 2023. It indicates that two incidents occurred between S2 and C1 and C2. Interviews were conducted and documentation was collected. An internal investigation was also conducted by the facility and S2 was placed on Administrative Leave until the investigation was concluded. Evidence collected by the facility was found to be insufficient. Therefore, S2 was released from administrative leave. Upon return to the facility S2 was reassigned to a different classroom and was given training on Positive Interaction with children.

Based on information gathered, the facility acted appropriately, and no violations have been identified. All parents and appropriate agencies were notified in a timely manner.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Ivamae Haney, Director.

SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:
DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/13/2023
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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