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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364809075
Report Date: 06/18/2021
Date Signed: 06/18/2021 03:50:37 PM

Document Has Been Signed on 06/18/2021 03:50 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 CENTERFACILITY NUMBER:
364809075
ADMINISTRATOR:BEATRIZ FARIASFACILITY TYPE:
850
ADDRESS:960 W. BLOOMINGTONTELEPHONE:
(909) 877-3399
CITY:BLOOMINGTONSTATE: CAZIP CODE:
92316
CAPACITY: 104TOTAL ENROLLED CHILDREN: 0CENSUS: 25DATE:
06/18/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Beatriz FariasTIME COMPLETED:
03:45 PM
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On 6/18/21 LPAs Corey Hall and Kim Leung were on site initiating a complaint investigation. During the tour of the facility it was discovered that staff need to be trained to properly follow COVID-19 guidance. LPAs discussed guidance and safety protocols with the Director. The Director was instructed to train her staff on COVID-19 procedures and to submit the proof of training to LPA Hall by 6/22/21. The Director agreed to submit proof of training by the due date.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Corey Hall
LICENSING EVALUATOR SIGNATURE: DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2021
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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