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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198005944
Report Date: 10/17/2019
Date Signed: 10/17/2019 03:49:18 PM



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 CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/23/2019 and conducted by Evaluator Timothy Fields
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20190923093618
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198005944
ADMINISTRATOR:BERNICE GONZALEZFACILITY TYPE:
850
ADDRESS:5251 E. LAS LOMASTELEPHONE:
(562) 961-8882
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:105CENSUS: 50DATE:
10/17/2019
UNANNOUNCEDTIME BEGAN:
02:12 PM
MET WITH:Indrea GreerTIME COMPLETED:
04:05 PM
ALLEGATION(S):
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Day care child sustained unexplained injury while in care.
INVESTIGATION FINDINGS:
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A Complaint investigation was conducted by Licensing Program Analyst (LPA) Timothy Fields for the purpose of investigating the above allegation. Director Indrea Greer, teaching staff, a parent, and child in care where interviewed during the course of the investigation. LPA obtained pictures and an ouch report documenting an injury a child sustained on 06/11/19. Child sustained a large bruise to their face while on the playground and staff was unaware of the injury and could not provide a sufficient explanation on what happened.

Based on LPAs observations and interviews which were conducted along with record reviews, the preponderance of evidence standards has been met therefore the above allegation is found to be substantiated. California Code of Regulation, 101229(a) Responsibility for Providing Care and Supervision, is being cited on the attached LIC 9099D.

Exit interview conducted with director Indrea Greer. Appeal Rights provided and explained. Notice of Site Visit must be posted for (30) days. Failure to do so may result in a $100.00 civil penalty.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019
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 54-CC-20190923093618
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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198005944
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/17/2019
Section Cited
CCR
101229(a)
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Responsibility for Providing Care and Supervision:

The licensee shall provide care and supervision as necessary to meet the children's needs.
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The facility has conducted an all staff meeting in July of 2019 discussing topics pertaining to Care and supervision. Documentation pertaining to the meeting was received by the department. Facility representatives also participated in an office meeting with the department on 8/28/19 to further discuss steps taken to address the topic as well.
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The requirement is not met as evidenced by sufficient information provided during interviews along with photograph regarding a child sustaining an unexplained injury on 6/11/19. This poses an immediate risk to the health and safety of children in care.
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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: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2