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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364804212
Report Date: 05/08/2019
Date Signed: 05/08/2019 05:29:23 PM

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:
364804212
ADMINISTRATOR:CARRIE FOEHLINGERFACILITY TYPE:
840
ADDRESS:2140 S. EUCLIDTELEPHONE:
(909) 983-5007
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:48CENSUS: 19DATE:
05/08/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
04:10 PM
MET WITH:Carrie FoehlingerTIME COMPLETED:
05:45 PM
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Licensing Program Analyst (LPA) Nelson Zuniga arrived at the facility to follow-up on an Unusual Incident Report that was submitted on 4/26/2019, incident date not given. The report stated that there was a possible lack of supervision violation. Further investigating is needed to complete this investigation, this investigation will be extended for an additional 30 days.
A toured of the facility was conducted by LPA Zuniga, facility records reviewed, and interviews were conducted.

An exit interview was conducted and a copy of this report was reviewed and provided.


Notice of Site Visit issued.
A copy of this report must be made available to the public for 3 years.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019
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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