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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334812757
Report Date: 03/21/2023
Date Signed: 03/21/2023 03:46:18 PM

Document Has Been Signed on 03/21/2023 03:46 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:
334812757
ADMINISTRATOR:JESSICA SALVADOR-RIVERAFACILITY TYPE:
850
ADDRESS:1080 HIGHGROVETELEPHONE:
(951) 371-9346
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: 73DATE:
03/21/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:27 AM
MET WITH:Jessica Salvador-RiveraTIME COMPLETED:
04:00 PM
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One date and time listed above, Licensing Program Analyst, (LPA) Justin Giese made an unannounced visit to the Facility for the purpose of following up on a potential unusual incident pertaining to supervision that allegedly occurred at the facility on an undisclosed date. LPA met with Facility Director, Jessica Salvador-Rivera.

LPAs discussed purpose of visit with Director, took census and conducted interviews with staff. Due to insufficient information available currently, LPA will return at a later date to follow-up/conclude.



An exit interview was conducted, LPA provided the Director with a copy of this report and a notice of site visit on 03/21/2023. Notice of site visit must be displayed in a prominent location for the next 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2023
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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