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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334809081
Report Date: 12/21/2021
Date Signed: 12/21/2021 10:12:55 AM

Document Has Been Signed on 12/21/2021 10:12 AM - 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334809081
ADMINISTRATOR:TARA MARTINEZFACILITY TYPE:
850
ADDRESS:610 E. NUEVO ROADTELEPHONE:
(951) 943-6476
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: 43DATE:
12/21/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Lanetta Woods, Assistant DirectorTIME COMPLETED:
10:23 AM
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Licensing Program Analyst (LPA), Nasha King, made an unannounced Case Management visit on this date to deliver an amended LIC 9099. During course of investigation (Complaint Control # 10-CC-20211021141624), LPA King obtained additional information that changed the outcome of the decision rendered from Unsubstantiated to Substantiated. LPA met with Assistant Director, Lanetta Woods who was informed of the reason for the premise visit.

An exit interview was conducted, and a copy of this report was provided to the Assistant Director, Lanetta Woods.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Nasha King
LICENSING EVALUATOR SIGNATURE: DATE: 12/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/21/2021
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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