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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
334805788
Report Date:
04/12/2022
Date Signed:
04/14/2022 02:31:27 PM
Document Has Been Signed on
04/14/2022 02:31 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
,
3737 MAIN ST., SUITE 700
RIVERSIDE
,
CA
92501
FACILITY NAME:
KINDERCARE LEARNING CENTER
FACILITY NUMBER:
334805788
ADMINISTRATOR:
EVA HERNANDEZ
FACILITY TYPE:
830
ADDRESS:
7920 LIMONITE AVENUE, SUITE G
TELEPHONE:
(951) 681-1440
CITY:
RIVERSIDE
STATE:
CA
ZIP CODE:
92509
CAPACITY:
24
TOTAL ENROLLED CHILDREN:
24
CENSUS:
13
DATE:
04/12/2022
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
01:30 PM
MET WITH:
Diana Ramirez, Director
TIME COMPLETED:
02:40 PM
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This is an amended report due to facility reporting incident on infant license. Incident visit report is corrected to facility's preschool license: 334805786
SUPERVISORS NAME
:
Gilbert Sena
LICENSING EVALUATOR NAME
:
Giselle Carbullido
LICENSING EVALUATOR SIGNATURE
:
DATE:
04/12/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/12/2022
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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