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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364809087
Report Date: 07/20/2023
Date Signed: 07/20/2023 11:14:46 AM


Document Has Been Signed on 07/20/2023 11:14 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364809087
ADMINISTRATOR:CHRISTINA LAMBARENFACILITY TYPE:
850
ADDRESS:10451 COMMERCE STREETTELEPHONE:
(909) 796-9686
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:72CENSUS: 48DATE:
07/20/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:37 AM
MET WITH:Tracy Bierman TIME COMPLETED:
11:20 AM
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A case management visit is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. Licensing Program Analysts (LPAs) Taityana Benson, Raymond Moorehead and Licensing Program Manager (LPM) Aaron Ross met with Director Tracy Bierman. The UIR was received by the licensing agency on 07/06/2023. It indicates the that a child was unresponsive on June 30, 2023. The incident involving Child#1 took place during circle time. During interviews, it was stated that staff took immediate action once the child became unresponsive. LPA/LPM toured the facility, took census, reviewed facility records and conducted staff interviews. Based on information gathered, the facility acted appropriately and no violations have been identified. The facility immediately assessed the child, called parent, called 911, and reported the incident timely. The facility has identified possible signs that could trigger a reoccurrence.

An exit interview was conducted and a copy of this report was provided to facility staff.

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Taityana BensonTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 07/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/20/2023
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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