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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364804251
Report Date: 06/17/2024
Date Signed: 06/17/2024 12:54:55 PM

Document Has Been Signed on 06/17/2024 12:54 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364804251
ADMINISTRATOR/
DIRECTOR:		GARNATZ, KRISTENFACILITY TYPE:
850
ADDRESS:1730 E. WASHINGTON STREETTELEPHONE:
(909) 824-1004
CITY:COLTONSTATE: CAZIP CODE:
92324
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 55DATE:
06/17/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Rocio MirandaTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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On date and time listed above, Licensing Program Analyst (LPA) Aman Lama arrived at the facility on another matter. During the tour of the facility, LPA discovered that 2 staff were not on the roster. Although the facility staff present were cleared for DOJ, FBI and CACI, they were not associated to the facility.

See LIC809D for further information.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and the report was reviewed with the acting site director, Rocio Miranda.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE: DATE: 06/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 06/17/2024 12:54 PM - It Cannot Be Edited


Created By: Aman Lama On 06/17/2024 at 12:41 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364804251

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2024
Section Cited
CCR
101216(i)(2)

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Personnel Requirements: Request a transfer of a criminal record clearance as specified in Section 101170(f). Based on record review, the facilty did not comply with the section cited above. In reviewing staff associations, it was determined that 2 of the staff present were not associated to the facility.
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Director agrees to associate S1 and S2 to the license/program where the staff will be working in/for.
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This poses/posed a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Gilbert Sena
LICENSING EVALUATOR NAME:Aman Lama
LICENSING EVALUATOR SIGNATURE:
DATE: 06/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/17/2024


LIC809 (FAS) - (06/04)
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