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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364804215
Report Date: 11/26/2024
Date Signed: 11/26/2024 03:18:21 PM

Document Has Been Signed on 11/26/2024 03:18 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364804215
ADMINISTRATOR/
DIRECTOR:		DORA LOPEZ-OSUNAFACILITY TYPE:
840
ADDRESS:10191 FOOTHILL BLVDTELEPHONE:
(909) 989-6136
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 14DATE:
11/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Dora Lopez-OsunaTIME VISIT/
INSPECTION COMPLETED:
03:35 PM
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On 11/26/24 at 2:00 pm, Licensing Program Analyst (LPA) Patricia Berry conducted a case management incident investigation in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 11/7/24.

Facility staff and children were interviewed. Further information will be needed. Upon completion of the review, the outcome and/or recommendations will be provided to the director.

An exit interview was conducted and a copy of this report was provided to facility staff, appeal rights and notice of site visit issued.

The Notice of Site Visit must be posted for 30 days.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/26/2024
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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