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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343603027
Report Date: 11/18/2019
Date Signed: 11/18/2019 02:37:32 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:KINDERCARE LEARNING CENTER - SAN JUAN (INF)FACILITY NUMBER:
343603027
ADMINISTRATOR:ALLRED, DAWNAFACILITY TYPE:
830
ADDRESS:5448 SAN JUAN AVENUETELEPHONE:
(916) 961-5599
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:36CENSUS: 28DATE:
11/18/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Dawna AllredTIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Karyn Guerra met with Director Dawna Allred for an unannounced Case Management Inspection regarding an unusual incident that occurred at the facility on 11/4/2019. Director self-reported the incident to the department on 11/5/2019. Census for the infant component of the facility consisted of 28 infant children supervised by 8 staff. During inspection, LPA toured the facility, conducted interviews, and obtained documents related to the incident.

No Title 22 Deficiencies cited during inspection. LPA reviewed and provided copy of report with the Director. Notice of Site Visit provided and must remain posted for 30 days.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 216-7796
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2019
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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