Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403594
Report Date: 08/06/2015 12:00:00 AM
Date Signed 08/06/2015 11:31:45 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
197403594
ADMINISTRATOR:ANA CASTELLANOSFACILITY TYPE:
830
ADDRESS:17730 RINALDITELEPHONE:
(818) 363-8442
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:24CENSUS: 10DATE:
08/06/2015
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Ana Castellanos, DirectorTIME COMPLETED:
11:20 AM
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Licensing Program Analyst (LPA) Khadarian conducted an unannounced plan of correction visit to the facility to observe the corrections to the violations previously cited on 7/10/15.

Upon arrival, the LPA observed the Notice of Site Visit and the report with Type A deficiency posted at the entrance the facility.

Staff and children's records were reviewed to include the required documents, including updated infant needs and services plans.
The staff are now fingerprint cleared and associated to the facility.

The previously cited violations are cleared.

During this visit, Incidental Medical Services were discussed. This facility provided Incidental Medical Services- IMS. LPA reviewed storage of medication and equipment and equipment/supplies, and reviewed children's, personnel, and administrative records.

Copy of this report was provided. Exit interview.
SUPERVISOR'S NAME: Bill MayedaTELEPHONE: (310) 337-4341
LICENSING EVALUATOR NAME: Shoghig KhadarianTELEPHONE: (310) 337-4308
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2015
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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