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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364809087
Report Date: 12/30/2021
Date Signed: 12/30/2021 11:35:27 AM

Document Has Been Signed on 12/30/2021 11:35 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364809087
ADMINISTRATOR:BRITTANY MCGUIREFACILITY TYPE:
850
ADDRESS:10451 COMMERCE STREETTELEPHONE:
(909) 796-9686
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY: 72TOTAL ENROLLED CHILDREN: 71CENSUS: 27DATE:
12/30/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:08 AM
MET WITH:Acting Director, Brenda SandovalTIME COMPLETED:
11:45 AM
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On 12/30/2021 at 09:08am, Licensing Program Analyst (LPA) Destinee Hogue conducted a case management inspection with Acting Director, Brenda Sandoval. A case management inspection is being conducted in response to the receipt of an unusual incident report (UIR) received from the facility. The UIR was received by the licensing agency on 12/16/2021. During this inspection, LPA Hogue toured the facility inside and outside, took census of preschool children present on this date, verified facility associations, and discussed the following with Acting Director, Brenda Sandoval.

On or about December 15, 2021, a child(ren) in the Discovery classroom was sitting on a chair and participating in a classroom painting activity. While reaching across the table for a paintbrush, the child(ren) lost his/her balance and fell off the chair, causing the child(ren) to hit the right side of their forehead on the edge of the table. Staff members present in the classroom, noticed the child(ren) had a laceration on his/her forehead, approximately one inch deep. One staff member in the classroom held the child, while another staff member applied pressure to the wound and contacted Acting Director and Assistant Director.

Acting and Assistant Director stayed with the child(ren) and contacted the child’s authorized representative, along with Paramedics. According to interviews, the child’s authorized representative and Paramedics arrived at the same time. The child(ren) was examined by the Paramedics, then left the facility with the child’s authorized representative. The child’s authorized representative took the child(ren) to the hospital and the child(ren) received stitches. The child(ren) returned to the facility on December 16, 2021.

Based on information gathered, there appears to be no violations of Title 22 Regulations found at this time. An exit interview was conducted, and a copy of this report was provided to Acting Director, Brenda Sandoval.

No deficiencies were cited during this inspection and a Notice of Site Visit was issued and shall remain posted for 30 days.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Destinee Hogue
LICENSING EVALUATOR SIGNATURE: DATE: 12/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/30/2021
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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