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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013415906
Report Date: 08/28/2024
Date Signed: 08/28/2024 12:51:18 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/09/2024 and conducted by Evaluator Jaleesa Jackson
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240709101013
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
013415906
ADMINISTRATOR:MA, YVONNEFACILITY TYPE:
850
ADDRESS:32710 FALCON DRIVETELEPHONE:
(510) 324-3569
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY:108CENSUS: 65DATE:
08/28/2024
UNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Yvonne MaTIME COMPLETED:
01:05 PM
ALLEGATION(S):
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Staff does not keep the facility free from pests
INVESTIGATION FINDINGS:
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On 8/28/2024, Licensing Program Analyst (LPA) Jaleesa Jackson met with Director Yvonne Ma to deliver the findings of a complaint filed against the Child Care Center (CCC) regarding the allegation mentioned above. Present during the inspection were 65 preschool aged children and 9 staff.

LPA Jackson conducted interviews. Through interviews it was found that on different occasions roaches have been seen at the facility. The allegation the staff does not keep the facility free from pests has been SUBSTANTIATED. Based on LPA's interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

See 9099-D for deficiency.
A notice of site visit was given and must remain posted for 30 days.
Appeal Rights were given and discussed. An exit interview was conducted.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Jaleesa JacksonTELEPHONE: (510) 368-0021
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 52-CC-20240709101013
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 013415906
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/27/2024
Section Cited
CCR
101238(a)(1)
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101238(a)(1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.
This requirement was not met as evidenced by:
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A written plan of action will be sent to Licensing detailing steps that will be taken to ensure the building is free of insects. The written plan will include the additional pest control visits planned and the clean up afterwards.
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Based on interviews, roaches have been seen on different occasions at the center which poses/posed a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Jaleesa JacksonTELEPHONE: (510) 368-0021
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024
LIC9099 (FAS) - (06/04)
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