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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334804323
Report Date: 06/22/2023
Date Signed: 06/22/2023 02:31:26 PM

Document Has Been Signed on 06/22/2023 02:31 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334804323
ADMINISTRATOR:MARGARITA D. GUILLERMOFACILITY TYPE:
850
ADDRESS:23301 OLIVEWOOD PLAZA DRIVETELEPHONE:
(951) 924-1956
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY: 72TOTAL ENROLLED CHILDREN: 61CENSUS: 45DATE:
06/22/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:27 PM
MET WITH:Assistant Director, Farhana AlamTIME COMPLETED:
02:40 PM
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Licensing Program Analyst (LPA) Linda Almaraz arrived at the facility to conduct a "Plan of Correction" (POC) visit. During a previous visit conducted by LPA's Linda Almaraz and Sumayya Habeebulla on 06/13/23, the facility was issued a citations for a "Criminal Record Clearance, Food Services, and Buildings and Grounds."

The plan of correction for the citation was to associate a staff member who was not associated, clean the refrigerator and ensure it maintains clean and sanitary, ensure there is no expired food or food with mold, create a plan/system in writing for staff to check the food and have a Pest Control company serve the center.

During the POC visit, LPA inspected the kitchen refrigerator, checked the food in the pantry, received copies of the completed service by Eagleshield Pest Control on 6/16/23, and proof of additional services being requested, a checklist and log of how food will be checked and how the kitchen will be cleaned.

The Plan of Corrections noted on 6/13/23 are cleared at this time. An exit interview was conducted, and this report was reviewed with the Assistant Director, Farhana Alam, and a copy was provided. Appeal rights were discussed and provided during the exit interview.

A Notice of Site visit was given, and the Assistant Director understands that it must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Linda M Almaraz
LICENSING EVALUATOR SIGNATURE: DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/22/2023
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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