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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334809082
Report Date: 06/13/2019
Date Signed: 06/13/2019 08:18:24 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 CENTERFACILITY NUMBER:
334809082
ADMINISTRATOR:AUTUMN ECHEVERRIAFACILITY TYPE:
840
ADDRESS:610 E. NUEVO ROADTELEPHONE:
(951) 943-6476
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY:28CENSUS: 3DATE:
06/13/2019
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Lead Teacher, Eva HernandezTIME COMPLETED:
08:30 AM
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June 13, 2019 Licensing Program Analysts (LPAs) Sharleen Robinson and Susan Brewer conducted an unannounced Required Legal Non-Compliance Case Management visit, regarding the School Age Program. The facility was placed on required visits (visits extended until December 11, 2019); during a None Compliance Office Meeting, that took place on December 11, 2017, due to concerns associated with the facility history of repeat violations; lack of supervision and personal rights violations.

LPAs met and toured the facility with Lead Teacher Eva Hernandez. There were 3 School Age children in care. The following was observed:

Class #1 had 3 School Age children under the supervision of 1 staff member.

Appropriate care and supervision was observed during the visit. Children personal rights were not violated during the visit. The facility was within license capacity and ratio limitations.

No deficiencies cited. An exit interview was conducted, A Notice of Site visit and a copy of this report was provided to the Lead Teacher this date.

SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Sharleen RobinsonTELEPHONE: (951) 782-4954
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
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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