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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364809072
Report Date: 08/25/2022
Date Signed: 08/25/2022 10:54:20 AM

Document Has Been Signed on 08/25/2022 10:54 AM - 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:
364809072
ADMINISTRATOR:SALVADOR-RIVERA, JESSICAFACILITY TYPE:
850
ADDRESS:16149 FOOTHILL BOULEVARDTELEPHONE:
(909) 823-2323
CITY:FONTANASTATE: CAZIP CODE:
92335
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 30DATE:
08/25/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Jessica Salvdor-RiveraTIME COMPLETED:
11:13 AM
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On 8/25/22 at 10:30 am, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent case management investigation. LPA was granted access into the facility and met with director. LPA toured facility and took a census.


LPA's purpose for this visit was to interview children. LPA was unable to interview children and need to return at a later date and time.



Exit interview conducted with director, report, appeal rights and Notice of Site Visit issued.

Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2022
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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