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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191204383
Report Date: 02/16/2021
Date Signed: 02/16/2021 02:26:31 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
12/07/2020 and conducted by Evaluator Adrian Risher
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20201207163308
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: 46DATE:
02/16/2021
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Paige Martinez, DirectorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
1
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5
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8
9
1.Qualifications:Unqualified staff providing care to day care children
INVESTIGATION FINDINGS:
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12
13
On 02/16/2021 at 12:12pm, LPA Adrian Risher conducted a complaint televisit to deliver the findings. LPA met with Paige Martinez, Center Director. There were 46 children present with 8 staff providing supervision.

On 12/15/2020, LPA Risher conducted the 10-day visit and interviewed the Center Director. LPA requested and received the facility roster, personnel report, staff qualifications, timesheets from the last 30 days. LPA Risher interviewed parents and staff regarding the staff and their qualifications. LPA Risher followed-up with the Director regarding the stand-by staff that were on the personnel report. The Director provided the staff qualifications via email. The Director stated that only one staff member did not meet the qualifications of a teacher. This staff member is supervised by a fully qualified staff member. LPA reviewed and observed that the staff members on the personnel report meet the qualifications to be teachers except Staff 12. LPA was able to confirm which teachers worked in the classroom during the interviews with the parents.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2021
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 30-CC-20201207163308
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: 02/16/2021
NARRATIVE
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Based on interviews and observations that were conducted during the investigation, the department has found the complaint to be unsubstantiated. Unsubstantiated means that the allegations may have happened or is valid; however, there is not a preponderance of evidence to prove the above alleged violations did or did not occur.

Exit Interview was conducted and a copy of the report will be emailed to the Director. Appeal rights were reviewed and provided.

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2