198003051-3-2-2021-33-CC-ACHO-BZPLHW-20210402084659

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198003051
Report Date: 03/02/2021
Date Signed: 03/02/2021 10:17:49 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/26/2021 and conducted by Evaluator Jennifer Hua

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20210126110130

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	198003051
ADMINISTRATOR:	MARYAM MASSOUDI		FACILITY TYPE:	850
ADDRESS:	1650 STONER CREEK		TELEPHONE:	(626) 965-3550
CITY:	CITY OF INDUSTRY	STATE: CA	ZIP CODE:	91748
CAPACITY:	48	CENSUS: 19	DATE:	03/02/2021
		UNANNOUNCED	TIME BEGAN:	09:42 AM
MET WITH:	Hsiang-Yu (Ariel) Chen		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Child sustained unexplained injuries while in care
Child's diapering needs were not met

INVESTIGATION FINDINGS:

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At 9:42am, Licensing Program Analyst (LPA) Jennifer Hua contacted the facility via telephone to initiate tele-investigation due to COVID-19 and pre-cautionary measures. LPA Hua identified herself and discussed the purpose of the call with Ariel Chen, Assitant Director. Tele-investigation was conducted via FACETIME. At 9:44am, Ms. Chen took LPA on a virtual tour of the facility. LPA observed 12 children on playground with 2 staff and 7 children in the 4s classroom with 1 staff.

During the course of the investigation, interviews were conducted with staff, and children’s authorized representative. According to the children’s authorized representative, children are not verbal. Therefore, the children were not interviewed.

Complainant states that C1 was observed to have an open wound on their thigh, C2 was observed to have scratches on their forearms and C2 came home with dry feces on their private area.

Staff interviewed, stated that they observed marking(s) on C1 when C1 was scratching the area on their left thigh, and when staff asked C1 what happened, C1 was not able to verbalize what happened. According to staff, C1 is not very verbal.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20210126110130

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 198003051
	VISIT DATE: 03/02/2021

NARRATIVE

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Staff also stated that when they noticed the marking(s) on C1, they decided to also check C2 and observed a couple of scratches on C2’s forearms and a small dark circle. The scratches appeared old and scabbing. C2 is not verbal and unable to verbalize what happened.

Staff stated that they follow the diaper changing procedures when changing diapers. On the day in question, C2 had a big bowel movement and staff made sure C2 was cleaned thoroughly.

According to staff, no incidents occurred at the facility and believe the marking(s) on both C1 and C2 were not sustained at the facility.

Although the allegations may have happened or is valid, there is not a preponderance to prove the alleged violations, did or did not occur, therefore the allegations are unsubstantiated.

An exit phone interview was conducted with Ariel Chen, and a copy of this report was signed by LPA Hua. This report along with the Appeal Rights (LIC 9058) will be sent via email to Ariel Chen at mmirmirani@kindercare.com, who agrees to sign and date the report. This report was sent via email and an electronic read receipt confirms receiving the report. The Licensee was provided with the mailing address for the Monterey Park Regional Office and agrees to send the original report by mail.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2021

LIC9099 (FAS) - (06/04)

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