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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364818107
Report Date: 10/25/2022
Date Signed: 10/25/2022 06:36:57 PM


Document Has Been Signed on 10/25/2022 06:36 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:
364818107
ADMINISTRATOR:EMILY CALHOUNFACILITY TYPE:
850
ADDRESS:33788 YUCAIPA BLVD.TELEPHONE:
(909) 797-4713
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY:64CENSUS: 49DATE:
10/25/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Ruth DeAndaTIME COMPLETED:
07:00 PM
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On 10/25/2022, Licensing Program Analysts (LPAs) Aman Sharma and Destinee Hogue arrived at the facility to conclude a case management inspection from 09/01/2022. A case management inspection is being conducted in receipt of two Unusual Incident Reports (UIRs) received. The two UIRs were received by the licensing agency on 08/29/2022. During this inspection, LPAs toured the facility, census of children present was taken, along with facility associations. LPAs Sharma and Hogue discussed the following with assistant director, Ruth DeAnda:

The facility reported on or about August 29, 20
22, that there was a teacher handling the children in a rough manner on two different occasions. LPAs attempted to interview the subject children, however, were unable to interview them all, as some of the children were not available. According to reported information and interviews with children as well as staff, the teacher has ended their employment with the facility and has not returned since the day of the incident.

Based on information gathered, there appears to be no violations of Title 22 Regulations found at this time. No deficiencies were cited for this inspection.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Exit interview conducted and report was reviewed with the assistant Director, Ruth DeAnda.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Aman SharmaTELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2022
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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