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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364818107
Report Date: 03/03/2020
Date Signed: 03/09/2020 04:09:40 PM

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:
364818107
ADMINISTRATOR:TRACY BIERMANFACILITY TYPE:
850
ADDRESS:33788 YUCAIPA BLVD.TELEPHONE:
(909) 797-4713
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY:64CENSUS: 60DATE:
03/03/2020
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
12:12 PM
MET WITH:Tracy BiermanTIME COMPLETED:
05:05 PM
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On 03/03/2020 at 12:12pm, Licensing Program Analyst (LPA) Destinee Hogue arrived at the facility to conduct a Case Management inspection to confirm the removal of Jessica Jaldin. An Exemption Denial letter was faxed to the facility on 03/03/2020, notifying the facility of a denied criminal record exemption for Jessica Jaldin. LPA met with Director Tracy Bierman to discuss the removal of Jessica Jaldin.

LPA Hogue explained to Director that a request for a criminal record exemption for Jessica Jaldin has been denied. A denied exemption means that this individual may not work or be present in a facility licensed by the Department. Director understands that this individual is also prohibited from having contact with clients of any facility licensed by the Department. Per statement from Director, Jessica Jaldin never worked at the facility.

Based upon the evidence obtained during today’s inspection, LPA has verified that Jessica Jaldin is not present, employed or residing at the facility.

Verification of removal is complete.

No deficiencies were cited during this inspection. A Notice of Site Visit was issued and LPA verified that it was posted in a prominent location at the facility before leaving. The Licensee understands that the Notice of Site Visit must remain posted for the next 30 days. This report must be available for review, upon request, for the next 3 years.

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee HogueTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020
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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