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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191204383
Report Date: 10/13/2020
Date Signed: 10/13/2020 01:35:07 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/07/2020 and conducted by Evaluator Sabrina Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20200807144145
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
191204383
ADMINISTRATOR:JACQUELINE MORSEFACILITY TYPE:
850
ADDRESS:16901 LASSEN STREETTELEPHONE:
(818) 368-5334
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:60CENSUS: 43DATE:
10/13/2020
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Paige Martinez, Center DirectorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Allegation#1: Child in care was touched inappropriately.
INVESTIGATION FINDINGS:
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Due to COVID-19 and the Safer at Home order issued by California State Governor Newsom, this complaint investigation was conducted via tele-conference. On 10/13/2020 at 1:00 pm, Licensing Program Analyst (LPA) Sabrina Martinez conducted a tele-visit/conference with Director Paige Martinez, for the purpose of concluding the investigation regarding the allegation detailed above. During today’s tele-visit there were 43 children being supervised by 8 staff.

Based on interviews conducted by the Investigations Bureau (IB) and review of records obtained such as the Los Angeles Police Department (LAPD) Report #2017 , LPA found no disclosures made by parties regarding the allegation referenced above. Therefore, the allegation is deemed Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation occurred. LPA advised licensee that the complaint may be reopened if new evidence is received. An exit interview was conducted, and a copy of this report was emailed to Paige Martinez, Center Director, with a read receipt confirmation request.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2020
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/07/2020 and conducted by Evaluator Sabrina Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20200807144145

FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
191204383
ADMINISTRATOR:JACQUELINE MORSEFACILITY TYPE:
850
ADDRESS:16901 LASSEN STREETTELEPHONE:
(818) 368-5334
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:60CENSUS: 43DATE:
10/13/2020
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Paige Martinez, Center DirectorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Allegation#2: Staff pulled child's hair.
Allegation #3: Staff not providing adequate food service to child in care.
INVESTIGATION FINDINGS:
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Due to COVID-19 and the Safer at Home order issued by California State Governor Newsom, this complaint investigation was conducted by tele-conference. On 10/13/2020 at 1:00 pm, Licensing Program Analyst (LPA) Sabrina Martinez conducted a tele-visit/conference with Director Paige Martinez, for the purpose of concluding the investigation regarding the allegation detailed above, Complaint CONTROL NUMBER 30-CC-20200807144145. During today’s tele-visit there were 43 children being supervised by 8 staff.

During the course of the investigation, LPA Martinez obtained copies and reviewed the following records:
Los Angeles Police Department (LAPD) Report #2017, Child Care Facility Roster, Staff #1’s Personnel and Training file (Included in the file were the following: Statement Acknowledging Requirement to report Child Abuse (LIC 9109), Personnel Record (LIC 501), Evaluation of Teacher Qualifications ( LIC 9095), Certificates of Professional Development, Transcripts, and Teacher Job Qualifications/ Description), Kindercare’s Incident Investigation Form and Photos from Reporting Party. (See LIC 9099 C for Page 2).

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 30-CC-20200807144145
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 191204383
VISIT DATE: 10/13/2020
NARRATIVE
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LPA conducted interviews with the Director, Reporting Party, Staff #1, Staff #2 and Staff #3. Based on the information obtained throughout the course of the investigation, it was revealed that on June 10, 2020 at 5:53 pm, child #1 told Reporting Party “teacher pulled my hair”. Interviews conducted with relevant parties revealed that in the afternoon of June 10, 2020, Staff #2 physically observed Staff #1 grab Child #1 by the hair and lead the child to the library.

Furthermore, it was also revealed that on July 10, 2020, Staff #3 failed to give child #2 the lunch that was sent by the parent and as a result, child #2 was given the same lunch from the day before which was left unrefrigerated for more than 24 hours.

Therefore, based on interviews and review of records, the allegations were found to be Substantiated, meaning that the allegation is valid because the preponderance of the evidence standard has been met.

Type A citations were issued during this tele-visit. (See LIC9009-D for deficiencies cited).

The Director was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.

In addition, a copy of this report must be provided to the authorized representatives of all currently enrolled children and any newly enrolled child for the following 12 months. The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC9224) shall be signed and kept in each of the children’s records. The report shall be provided no later than the next business day or the next day the child is in care.


An exit Interview was conducted, a copy of this report, Notice of Site visit, LIC9224, and Appeal Rights were explained and emailed (with read receipt confirmation request) to Director Paige Martinez.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 30-CC-20200807144145
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 191204383
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/13/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/14/2020
Section Cited
CCR
101223(a)(3)
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Personal Rights. To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion,..This requirement is not met as evidenced by: On 06/10/2020, Staff #2 physically observed Staff #1 grab Child #1 by the hair and lead the child to the library. This poses an immediate risk to the health and safety of children in care.
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Director will conduct a staff training to promote positive disciplining techniques and review the personal rights of child care children. Licensee will provide an agenda of all topics covered, sign in sheet, and all material provided in staff meeting. This is to be completed and emailed to LPA Martinez no later than October 14, 2020.
Type A
10/14/2020
Section Cited
CCR
101227(a)(1)
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Food services. All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children… All food shall be selected, stored, prepared and served in a safe and healthful manner.

This requirement is not met as evidenced by: On 07/10/2020, Child #2 was given the
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Director will submit an updated policy on Food service provisions. The description must clearly indicate who will provide food services for each meal and whether food will be prepared in the facility or brought in from an outside source. This updated policy will be emailed to LPA Martinez no later than October 14, 2020. Director will also conduct a
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same lunch from the day before which was left unrefrigerated for more than 24 hours. This poses an immediate health and safety risk to children in care.
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staff meeting to retrain facility staff on proper requirements for handling, labeling and storing of children's food that is brought from home. Licensee will provide an agenda of all topics covered, sign in sheet, and all material provided in staff meeting. This is to be completed and emailed to LPA Martinez no later than October 14, 2020.
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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: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2020
LIC9099 (FAS) - (06/04)
Page: 4 of 4