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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364809087
Report Date: 06/12/2024
Date Signed: 06/12/2024 03:30:08 PM

Document Has Been Signed on 06/12/2024 03:30 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:
364809087
ADMINISTRATOR/
DIRECTOR:		TRACY BIERMANFACILITY TYPE:
850
ADDRESS:10451 COMMERCE STREETTELEPHONE:
(909) 796-9686
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 55DATE:
06/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:50 AM
MET WITH:Tracy Bierman, Director and Ann-Marie Schoben, Assistant DirectorTIME VISIT/
INSPECTION COMPLETED:
03:35 PM
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On 06/12/2024, Licensing Program Analyst (LPA) Raymond Moorehead conducted a case management inspection with Tracy Bierman, Director and Ann-Marie Schoben, Assistant Director. A case management inspection 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 06/07/2024 as the incident was self-reported.

The UIR documented an incident where a child reportedly tripped over themselves and fell into a windowsill. The fall resulted in the child needing medical attention. The facility tended to the child with care immediately, and the child was safely picked up by a parent/authorized representative. The child has since then returned to the facility and activity is normal.

During today's visit, LPA investigated the incident. Facility staff members were interviewed, documentation was obtained, a tour/census was taken. The following was disclosed. It was reported that the subject child was walking around in the classroom while the class was doing circle time. It was also reported that the subject child was not running and there were no toys on the floor to trip over. It was stated that the subject child had a stuffed animal in their hand and that they tripped over themselves and hit the windowsill. The facility provided immediate care by cleaning the affected area and applying a bandage. It was also stated that the child was picked up by a parent/authorized representative within 20 minutes of the incident occurring.

LPA observed the area in which the subject child fell and hit their forehead on the windowsill. No safety hazards were observed at this time. At the conclusion of the visit, it was determined that there were no safety hazards present and that the child tripped over themselves.

Based on the information obtained, there appeared to be no violations of Title 22 Regulations pertaining to the reported incident at this time. LPA conducted an exit interview with Tracy Bierman, Director and Ann-Marie Schoben, Assistant Director and provided a copy of this report. A Notice of Site Visit was issued and must remain posted for the next 30 days.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2024
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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