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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003089
Report Date: 10/01/2021
Date Signed: 10/01/2021 03:19:04 PM

Document Has Been Signed on 10/01/2021 03:19 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:
198003089
ADMINISTRATOR:CATHERINE ESCOBEDOFACILITY TYPE:
850
ADDRESS:830 W. MERCEDTELEPHONE:
(626) 918-5608
CITY:WEST COVINASTATE: CAZIP CODE:
91791
CAPACITY: 114TOTAL ENROLLED CHILDREN: 0CENSUS: 50DATE:
10/01/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:31 PM
MET WITH:Amanda Sanchez, StaffTIME COMPLETED:
03:30 PM
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On 10/1/2021 at 2:31PM, Licensing Program Analyst (LPA) Thelma Razo conducted a subsequent Case Management - Incident visit and met with staff Amanda Sanchez. LPA stated the purpose of the visit is due to Unusual Incident which occurred on 9/1/2021 regarding an alleged violation of personal rights by staff.

On 9/9/2021, LPA interviewed 3 staff, and 4 children and toured the center at 10:56AM with Ms. Sanchez to include two preschool playgrounds, 3 preschool classrooms and bathrooms. Additional interviews were held with 3 staff over the phone on 9/20/2021 and 9/30/2021. Parent of the subject child was also interviewed over the phone. LPA attempted to interview subject child but was unsuccessful.

Based on interviews, and information gathered, center was not cited under California Code of Regulations, Title 22, Division 12 at this time.

The Notice of Site Visit (LIC 9213) was posted and must remain for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted, appeal rights and report provided.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE: DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2021
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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