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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364807781
Report Date: 04/27/2023
Date Signed: 04/27/2023 12:50:44 PM


Document Has Been Signed on 04/27/2023 12:50 PM - 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:
364807781
ADMINISTRATOR:DIEHL, JENNIFERFACILITY TYPE:
840
ADDRESS:15928 LOS SERRANOS COUNTRY CLBTELEPHONE:
(909) 606-7744
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:52CENSUS: 11DATE:
04/27/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:12 AM
MET WITH:Director Jennifer DiehlTIME COMPLETED:
01:10 PM
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Licensing Program Analyst (LPA), Samuel Lopez arrived at the facility to conduct a Case Management inspection due to the request submitted for a decrease in capacity. The facility is requesting to decrease the School Age Program capacity from 52 to 42. A Fire Clearance was granted on 4/11/2023.

The days and hours of operation will remain the same: Monday through Friday; 6:00am to 6:30pm.

LPA Lopez toured the facility and measured the rooms that are assigned to the School Age Program. Based on the measurements taken, the following was determined:

School-Age Indoor Activity Areas
LPA has determined that there is sufficient space to accommodate 42 children.

School-age Bathroom Fixtures
4 toilets x 15 = 60 children
3 sinks x 15 = 45 children

School-Age Outdoor Activity Area:
LPA has determined that there is sufficient space to accommodate 56 children.

Limiting factor for school-age capacity is the square footage of both classroom.
School-age capacity is limited to 42 children.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:
DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/27/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364807781
VISIT DATE: 04/27/2023
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The following was observed:
· Classrooms are adequately equipped with age and size appropriate furniture and equipment
· Bottle water and filtered system supply drinking water in the indoor activity space
· Playgrounds are enclosed by appropriate fences
· Outdoor activity areas are supplied with age and size appropriate equipment
· An adequate amount of cushioning material (rubber matting) is in place under play equipment
· Adequate shade is provided
· Drinking water is provided in the outdoor play areas by bottled water and a filtered system
· The office area is located at the entrance of the facility and will serve as the isolation area for ill children temporarily until parents arrive
· Toxins are locked
· Sign in/Sign out record was reviewed and meets regulation requirements
· The Director/Facility Representative/Licensee was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov
· A review of staff records on 4/27/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

No cited deficiencies during today's inspection

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Application for decreasing the capacity will be submitted for approval.

Exit interview conducted and report was reviewed with the Director Jennifer Diehl.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023
LIC809 (FAS) - (06/04)
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