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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008923
Report Date: 04/03/2024
Date Signed: 04/03/2024 04:34:30 PM

Document Has Been Signed on 04/03/2024 04:34 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:KIDDIE ACADEMY CHILD CARE LEARNING CENTERFACILITY NUMBER:
198008923
ADMINISTRATOR:
ADMINISTRATOR/
DIRECTOR:		CARMEN MILLNERFACILITY TYPE:
850
ADDRESS:663 E. FOOTHILL BLVD.TELEPHONE:
(909) 621-5112
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY: 118TOTAL ENROLLED CHILDREN: 118CENSUS: 94DATE:
04/03/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
TIME VISIT/
INSPECTION BEGAN:
02:05 PM
MET WITH:Carmen MillnerTIME COMPLETED:
TIME VISIT/
INSPECTION COMPLETED:
02:35 PM
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On 4/3/2024, Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced visit. A Covid risk assessment was conducted. LPA met with Director, Carmen Millner and a census was taken of 94 children present with 8 staff during naptime.

LPA needed to amend report from prior visit on 3/6/2024.

Notice a site visit was given and should remain posted for 30 days.

Exit interview conducted and a copy of this report along with appeal rights were given to Director, Carmen Millner.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2024
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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