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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364812754
Report Date: 05/17/2022
Date Signed: 05/17/2022 11:12:59 AM

Document Has Been Signed on 05/17/2022 11:12 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:
364812754
ADMINISTRATOR:ASHLEY RAWLSFACILITY TYPE:
850
ADDRESS:11249 BASELINE AVENUETELEPHONE:
(909) 581-0944
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 82DATE:
05/17/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Ashley Rawls/DirectorTIME COMPLETED:
11:45 AM
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On 5/17/2022 at 10:15 am , Licensing Program Analyst (LPA) Patricia Berry conducted a case management incident investigation. LPA was granted access into the facility and met with director. LPA took a census. LPA interviewed staff and children.


Regarding an Unusual Incident Report, self reported by director to Community Care Licensing on 4/29/2022 it was alleged a teacher inappropriately handled a child. Director stated the parent called the police department and officer Mason arrived to talk with both parent and child. Director stated the officer determined the child had conflicting stories and the parent decided to keep child in the facility but requested that the child be put in same classroom with the sibling. Children interviews revealed conflicting information.


Based on information obtained by director and determination from the officer there does not appear to be a violation of Title 22 regulations at this time. LPA attempted to obtain police report from the Rancho Cucamonga Police Department 5/6/22.

Exit interview with director, report, appeal rights and Notice of Site Visit provided to director.

LPA observed director post notice.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2022
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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