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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003095
Report Date: 09/19/2023
Date Signed: 09/19/2023 03:03:05 PM


Document Has Been Signed on 09/19/2023 03:03 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198003095
ADMINISTRATOR:NATILEE CARTERFACILITY TYPE:
840
ADDRESS:455 E. FOOTHILL BOULEVARDTELEPHONE:
(909) 599-0597
CITY:SAN DIMASSTATE: CAZIP CODE:
91773
CAPACITY:49CENSUS: 0DATE:
09/19/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:01 PM
MET WITH:Roxanne Gonzales (Munoz)TIME COMPLETED:
03:10 PM
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Case management inspection conducted by Licensing Program Analyst Jennifer Hua. LPA met with director Roxanne Gonzales (Munoz). Per director, the school-age program has been closedas of 9/5/2023 and will not re-open. Director requested closure of the license.

File will be closed.

Exit interview conducted with director.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer HuaTELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2023
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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