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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364804462
Report Date: 11/26/2019
Date Signed: 01/13/2020 11:45:09 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364804462
ADMINISTRATOR:TAHAN, JULIANAFACILITY TYPE:
840
ADDRESS:1609 CALVARY CIRCLETELEPHONE:
(909) 798-2987
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:64CENSUS: 19DATE:
11/26/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Juliana TahanTIME COMPLETED:
05:00 PM
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On 11/26/2019 at 2:50pm, Licensing Program Analyst (LPA) Destinee Hogue conducted an unannounced case management inspection to follow-up on an Unusual Incident Report (UIR) submitted by the facility to the Riverside Child Care Regional Office on 11/08/19 via email. During this inspection, LPA Hogue met with Director Juliana Tahan and discussed the following:

During outdoor playtime, a child in care lost their balance on the slide, fell and hit their left elbow. Staff were present and responded to the injured child. Child was taken to the front office and parent was notified. Based on the information obtained from interviews with staff and children and review of facility records, there appears to be no violations of Title 22 Regulations pertaining to the reported incident, at this time.

An exit interview was held with Director Julianna Tahan, a Notice of Site visit was issued, along with a copy of this report. This report shall be public record for three years.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee HogueTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019
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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