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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 103801757
Report Date: 04/25/2022
Date Signed: 04/25/2022 12:45:31 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/22/2022 and conducted by Evaluator Jeovanna Yanez
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220222102448
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
103801757
ADMINISTRATOR:SANCHEZ, YESENIAFACILITY TYPE:
850
ADDRESS:1190 W. HERNDONTELEPHONE:
(559) 438-7740
CITY:PINEDALESTATE: CAZIP CODE:
93650
CAPACITY:68CENSUS: 63DATE:
04/25/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Yesenia SanchezTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff are forging authorized representative signatures on sign in/sign out sheets.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 04/25/2022, Licensing Program Analyst (LPA) Jeovanna Yanez arrived at the facility to conduct an unannounced complaint inspection. The purpose of the inspection was to deliver investigation findings for the above allegation. LPA met with Director, Yesenia Sanchez, and a census was taken. During the course of this investigation, LPA reviewed pertinent records and interviewed staff and parents of children in care.

Based upon records review, documentation obtained, and information received through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiency is being cited (see 9099-D).

An exit interview was conducted with Yesenia Sanchez. A copy of this report and Appeal Rights were provided and discussed. A Notice of Site Visit (LIC 9213) form will be posted on the facility's parent's board and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jeovanna YanezTELEPHONE: (559) 341-5629
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2022
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 04-CC-20220222102448
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 103801757
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/23/2022
Section Cited
CCR
101163(a)
1
2
3
4
5
6
7
(a) No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the child care center or any of the services provided by the center. This requirement was not met as evidenced by: record review and interview revealed that children were signed in and out
1
2
3
4
5
6
7
Director stated she will conduct an All Staff Meeting going over sign in/sign out procedures with staff at the facility and will submit all training materials and roster to CCL by POC due date.
8
9
10
11
12
13
14
of the facility with forged signatures on dates when they were not physically present at the facility. This poses a potential risk to the health, safety and/or personal rights of children in care.
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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jeovanna YanezTELEPHONE: (559) 341-5629
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2