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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334805786
Report Date: 04/12/2022
Date Signed: 04/12/2022 02:42:11 PM

Document Has Been Signed on 04/12/2022 02:42 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:
334805786
ADMINISTRATOR:EVA HERNANDEZFACILITY TYPE:
850
ADDRESS:7920 LIMONITE AVENUE, SUITE GTELEPHONE:
(951) 681-1440
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY: 67TOTAL ENROLLED CHILDREN: 67CENSUS: 22DATE:
04/12/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Diana Ramirez, DirectorTIME COMPLETED:
02:45 PM
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A case management visit is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 04/08/2022. It indicates a child was hit on the head by a teacher. Facility records were reviewed and interviews were conducted with Director and Parent of child. Director interview stated that a Facetime meeting was held with Parent for follow up of the issue, to review behavior concerns for child (listening skills and following directions.) Director confirmed that the Staff no longer works at the facility. Additionally, Parent interview stated they like the facility overall and like the facility management including improvements being made. Parent interveiw revealed facility did have a meeting to address concern; a police report was filed and that Parent brought in additional behavioral support for their child to share with Teachers to help with addressing any behavioral concerns with their child.

Based on information gathered, LPA was not able to determine if the incident did occur, therefore, at this time there appears to be no violation of Title 22 Regulations pertaining to the reported incident.

The facility took appropriate action by completing self-reporting requirements: Notification to the Duty Officer within 24 hours and timely submission of Unusual Incident Reports to the Department. Facility also maintained communication with the parent via a Facetime meeting to review incident. Parent opted to keep child enrolled at facility. An exit interview was conducted and a copy of this report was provided to facility Director, Diana Ramirez

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2022
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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