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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364804982
Report Date: 07/31/2024
Date Signed: 08/01/2024 03:14:46 PM

Document Has Been Signed on 08/01/2024 03:14 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:
364804982
ADMINISTRATOR/
DIRECTOR:
CRYSTAL REYNOLDSFACILITY TYPE:
850
ADDRESS:13815 PEYTON DRTELEPHONE:
(909) 464-2255
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY: 96TOTAL ENROLLED CHILDREN: 62CENSUS: 53DATE:
07/31/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Crystal ReynoldsTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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Licensing Program Analyst (LPA) Rachel Zeron conducted a case management inspection with Director, Crystal Reynolds. A case management inspection is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 06/11/2024. LPA received a complaint regarding the same child (C1) on 06/10/2024 which was being investigated at the same time as this incident.
The incident occurred on 06/07/2024, the UIR documented an incident where, while on the playground C1 pushed another child down in the wood chips and began throwing wood chips a the child, child was crying and some wood chips landed in the child's mouth. The incident was self reported and the facility conducted an internal investigation into the matter.

During a previous visit on 06/20/2024, LPA investigated the incident, staff were interviewed and the following was disclosed. There were two staff present and 10 children in care, this was at the end of the day at approximately 5:30pm on 06/10/2024 and classes were being combined. Staff 1 (S1) brought the remaining children out to the playground to join Staff 2's (S2) classroom. As S1 and S2 were checking the children in, the noticed that C1 had pushed down a child into the wood chips, staff ran over. As staff was heading over to the children, C1 began throwing wood chips in the child's mouth. C1 was redirected and both responsible parties were notified upon pick up and given a written incident report. C1 was also put on a behavioral plan and later terminated for continued behavioral issues.
Based on the information obtained, there appeared to be no violations of Title 22 Regulations pertaining to the reported incident at this time.

LPA conducted an exit interview with Director, Crystal Reynolds and provided a copy of this report. A Notice of Site Visit was issued and must remain posted for the next 30 days.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE: DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/30/2024
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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