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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364804982
Report Date: 06/18/2021
Date Signed: 06/18/2021 10:58:34 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:
364804982
ADMINISTRATOR:JULIE ZONEFACILITY TYPE:
850
ADDRESS:13815 PEYTON DRTELEPHONE:
(909) 464-2255
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:96CENSUS: DATE:
06/18/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Julie ZoneTIME COMPLETED:
10:57 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Kim Leung and Corey Hall conducted a case management inspection at the facility at 9:30am on 6/18/2021. An unusual incident report (UIR) was received from the facility on 3/22/2021. It was reported that the facility received a report regarding possible violation of a child's personal rights while assisting a child to put on their shoes. A tele-visit was conducted on 3/26/2021 to interview staff regarding the incident. Additional interviews were conducted after the visit. Based on the information gathered during the investigation process, there is not a preponderance of evidence to prove any inappropriate interactions or violations of the child's personal rights. Therefore, no deficiency was cited during this inspection.

An exit interview was conducted with director Julie Zone A copy of this report was provided to the facility. Notice of Site Visit was issued and it must be posted at the facility for 30 days.

This report must be maintained at the facility for 3 years for public review upon request.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021
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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