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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198003051
Report Date: 09/15/2022
Date Signed: 09/15/2022 02:33:26 PM

Unsubstantiated


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
08/04/2022 and conducted by Evaluator Jennifer Hua
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20220804174751
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198003051
ADMINISTRATOR:MARYAM MASSOUDIFACILITY TYPE:
850
ADDRESS:1650 STONER CREEKTELEPHONE:
(626) 965-3550
CITY:CITY OF INDUSTRYSTATE: CAZIP CODE:
91748
CAPACITY:48CENSUS: 45DATE:
09/15/2022
UNANNOUNCEDTIME BEGAN:
01:57 PM
MET WITH:Maryam MassoudiTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Day-care child sustained insect bites while in care.
INVESTIGATION FINDINGS:
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This complaint inspection was conducted by Licensing Program Analyst (LPA) Jennifer Hua who met with director, Maryam Massoudi for the purpose of providing the finding for the above pending allegation. A Covid-19 risk assessment was conducted. LPA was let in the facility by staff.

During the course of the investigation, interviews were conducted with director, assistant director, day-care staff, and reporting party.

Director stated, a parent has brought to their attention that a child sustained bug bites while in care. Director stated that there have been no reports from staff of children getting bitten, and no other parent has reported that their child has been bitten.

Assistant director also stated that no staff have reported incidents of children getting bitten, and that no other parent has reported that their child was bitten while in care.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer HuaTELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
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 33-CC-20220804174751
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: 09/15/2022
NARRATIVE
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Staff #1 stated that, while changing child’s diaper, there were no bumps observed on child’s bottom, nor was child scratching or appeared to be irritated. It was only after it was brought to their attention that staff saw the bumps. Staff #1 stated that, no other parent has reported that their child has been bitten.

Staff #2 stated that no bumps were observed on child when changing child’s diaper. Staff #2 saw the bumps after it was brought to their attention. According to staff #2, no other parents reported that their child was bitten.

Staff #3 stated that the bumps were not noticed until it was brought to staff’s attention. Staff also stated that no other parent reported that their child was bitten.

RP stated that, on the day in question, child was picked up from the facility around 5:30pm. At around 7:30pm, while changing child’s diaper at home, RP saw the bumps. RP stated, the next day at drop off, he reported the bumps and pictures were shown to the staff. RP stated that he wiped the bumps with alcohol and the bumps were getting better the next. RP also stated, that child was not examined by a medical professional regarding the bumps.

Based on the above, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

An exit interview conducted with the director. Copy of report provided and Notice of Site Visit provided and shall be posted for 30 days in an area accessible for review
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer HuaTELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2