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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003097
Report Date: 01/10/2020
Date Signed: 01/10/2020 06:28:22 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198003097
ADMINISTRATOR:MARGIE ZARATEFACILITY TYPE:
850
ADDRESS:3443 S. NOGALES STREETTELEPHONE:
(626) 965-9611
CITY:WEST COVINASTATE: CAZIP CODE:
91792
CAPACITY:60CENSUS: 2DATE:
01/10/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
06:00 PM
MET WITH:Margie ZarateTIME COMPLETED:
06:45 PM
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Cynthia Reyes and Monique Ayala, Licensing Program Analysts (LPAs) conducted an unannounced Case Management Inspection on this date. This inspection was conducted to deliver an electronic copy of the report that was hand written for the case managment-deficiencies inspection dated 12/19/2019 due to a computer and printed malfunction.

Exit interview was conducted with Margie Zarate, Director who acknowledges receipt of report.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
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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