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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403508
Report Date: 07/14/2023
Date Signed: 07/14/2023 01:40:01 PM

Document Has Been Signed on 07/14/2023 01:40 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
197403508
ADMINISTRATOR:PILAFAS, LORETTAFACILITY TYPE:
850
ADDRESS:43536 22ND STREET WESTTELEPHONE:
(661) 948-3570
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 47DATE:
07/14/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:16 AM
MET WITH:Loretta Pilafas, DirectorTIME COMPLETED:
01:50 PM
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On 07/14/2023, Licensing Program Analyst (LPA) Justeene Tamayo met with Director Loretta Pilafas who guided LPA on a tour of the facility. The purpose of this visit was to conduct a Case Management - Incident Follow Up Inspection for an Unusual Incident that occurred on 06/15/23. The Unusual Incident was self reported within the time frame specified by regulations. Upon arrival, LPA observed 47 preschool children in care with 4 staff present, and the Director.

LPA Tamayo followed up with staff and children involved regarding the incident.

Description of incident: On 06/15/23, Child #1 was told to share the bike with other children, and child #1 refused to get off the bike and started to cry. Parent #1 arrived to the facility during the incident, and child #1 ran to parent #1 and told parent #1 that staff #1 "popped" her.

LPA interviewed child #1 and child #1 did not disclose she was hit by staff #1. Interviews conducted with children did not reveal staff #1 hitting child #1 or any other children at the facility. Director was notified to report any other unusual incidents within the required time frame. No deficiencies are being cited at this time.

An exit interview was conducted and a copy of this report was provided to the Director, along with Notice of Site Visit and appeal rights.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2023
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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