Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403594
Report Date: 03/27/2018
Date Signed 03/27/2018 11:01:48 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
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:36CENSUS: 16DATE:
03/27/2018
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Ana CastellanosTIME COMPLETED:
11:15 AM
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Licensing Program Analysts (LPA) Mason met with Ana Castellanos, Director for a , Case Management Incident inspection involving an Incident Report dated 02/12/18. This is a follow up report from an incident that occurred on 02/12/18.

Description of the incident:
On Monday, February 12, 2018 at about 10:50 a.m. Teacher #1 observed child #1 chewing on something as she sat on the playground. When Teacher #1 reached Child #1, she swiped her finger inside child #1 mouth removing a rubbery pouch.

The focus of the inspection is to interview staff, interview parent,review child's file, and inspect facility for items that may pose a potential heath and safety hazard for the children in care. Based on information obtained, LPA determined the director and staff handled the incident correctly and reporting requirements were met. At this time it is determined that facility took appropriate measures to address the incident and followed proper policies and procedures and no regulations were violated.

Per California Code of Regulations Title 22, no deficiency cited during today's visit.

Exit interview conducted, and a copy of this report and notice of site visit was read and provided to Ana Castellanos, site Director.
SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Tiana MasonTELEPHONE: (661) 568-8186
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2018
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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