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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364804211
Report Date: 03/25/2022
Date Signed: 03/25/2022 09:28:58 AM


Document Has Been Signed on 03/25/2022 09:28 AM - 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:
364804211
ADMINISTRATOR:CARRIE FOEHLINGERFACILITY TYPE:
850
ADDRESS:2140 S. EUCLIDTELEPHONE:
(909) 983-5007
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:72CENSUS: 39DATE:
03/25/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:16 AM
MET WITH:Melinda Gaskin/DirectorTIME COMPLETED:
10:02 AM
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On 3/25/2022 at 8:15 am, Licensing Program Analyst (LPA) Patricia Berry conducted a case management incident investigation. LPA met with director Melinda Gaskin and was granted access into the facility. LPA toured the facility and took a census.

On 3/7/22 it was self reported by director a child was running toward the sink to wash hands. Child tripped, and fell hitting child’s forehead on the edge of the sink. Director stated the child received stiches on the forehead. LPA observed the area where the child fell. LPA observed a mat on the floor at the sink area. LPA observed the mat to be in good condition with no apparent tripping hazards. LPA also observed there were no other obstructions at the sink area. LPA interviewed staff who stated they were in transition, coming from the playground into the classroom for lunch. Staff stated child was running to the sink to wash hands, when child tripped over child's feet, fell forward and hit the edge of the sink. LPA interviewed the child and child revealed child was running toward the sink, tripped and fell. Child stated there was nothing by the sink except the mat on the floor.


Based on information obtained, and interviews with staff and child there did not appear there was any obstruction in the way to cause the fall. LPA observed the mat only at the sink area. Therefore, there has been no violation of Title 22 regulations at this time. This incident appears to have been an accident.

Exit interview conducted with director, report, appeal rights and Notice of Site visit provided to the director.

Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:
DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/25/2022
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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