<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073403053
Report Date: 12/10/2020
Date Signed: 12/10/2020 04:05:12 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/30/2020 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20200130133031
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
073403053
ADMINISTRATOR:ADEEBA AQMALFACILITY TYPE:
850
ADDRESS:4108 LONE TREE WAYTELEPHONE:
(925) 754-1236
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY:72CENSUS: 35DATE:
12/10/2020
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:CRYSTAL FRITZTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
PERSONAL RIGHTS- facility staff restrained children in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LICENSING PROGRAM ANALYST ALEXANDER MET WITH NEW CENTER DIRECTOR CRYSTAL FRITZ VIA TELE-VISIT DUE TO THE COVID-19 PANDEMIC TO DELIVER THE FINDINGS TO THE ABOVE COMPLAINT ALLEGATION.

ON THIS ANALYST'S LAST VISIT, INTERVIEWS WERE CONDUCTED WITH STAFF AND A FACILITY ROSTER WAS RECEIVED.

BASED ON LPAs OBSERVATIONS AND INTERVIEWS WHICH WERE CONDUCTED AND RECORD REVIEWS, THE PREPONDERANCE OF EVIDENCE STANDARD HAS BEEN MET, THEREFORE THE ABOVE ALLEGATION IS FOUND TO BE SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter number 101223, are being cited on the attached LIC. 9099D.

AN EXIT INTERVIEW WAS CONDUCTED. THIS REPORT IS TO BE KEPT FOR 3 YEARS. A COPY OF THE REPORT WAS EMAILED TO THE LICENSEE AT 000409@KLCORP.COM . ACKNOWLEDGEMENT OF RECEIPT OF THIS REPORT ACTS AS THE SIGNATURE. PLEASE SEE 9099-D FOR CITATION

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2020
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 02-CC-20200130133031
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 073403053
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/10/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/23/2020
Section Cited
CCR
101223(a)(3)
1
2
3
4
5
6
7
101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
FACILITY STAFF RESTRAINED CHILDREN IN CARE (GRABBED BY THE ARM & FORCED TO SIT ON LAP AND NOT GET UP)
1
2
3
4
5
6
7
LICENSEE MUST TRAIN STAFF ON PERSONAL RIGHTS POLICIES AND HOW TO DEAL WITH CHILDREN WITH BEHAVIORAL PROBLEMS. LICENSEE MUST SUBMIT PROOF OF TRAINING AND ALL IN ATTENDANCE BY 12/23/20
8
9
10
11
12
13
14
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2