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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334804329
Report Date: 12/06/2021
Date Signed: 12/06/2021 12:31:18 PM

Document Has Been Signed on 12/06/2021 12:31 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:
334804329
ADMINISTRATOR:THERESA SALLEYFACILITY TYPE:
850
ADDRESS:11961 PERRIS BLVDTELEPHONE:
(951) 243-6558
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92557
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: DATE:
12/06/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:17 AM
MET WITH:Theresa SalleyTIME COMPLETED:
12:40 PM
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Licensing Program Analyst Ana Noble returned on this date to deliver reports to the facility for visit conducted on 12/3/2021. LPA's computer went into consistency check during visit on 12/3/2021, and has returned to provided copies of reports.

An exit interview was conducted Theresa Salley, and a copy of this report was issued to Theresa Salley, Director during this visit.

A copy of this report must be made available to the public for 3 years.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2021
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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