198005944-6-19-2019-54-CC-TCON-BFJVBV-20190830161810

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198005944
Report Date: 06/19/2019
Date Signed: 06/19/2019 02:19:09 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
06/17/2019 and conducted by Evaluator Timothy Fields

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190617131806

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	198005944
ADMINISTRATOR:	BERNICE GONZALEZ		FACILITY TYPE:	850
ADDRESS:	5251 E. LAS LOMAS		TELEPHONE:	(562) 961-8882
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90815
CAPACITY:	105	CENSUS: 66	DATE:	06/19/2019
		UNANNOUNCED	TIME BEGAN:	09:28 AM
MET WITH:	Nancy Flores		TIME COMPLETED:	01:34 PM

ALLEGATION(S):

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Lack of supervision resulting in day care child sustaining injury.

INVESTIGATION FINDINGS:

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A Complaint investigation was conducted by Licensing Program Analyst, Timothy Fields for the purpose of investigating the above allegation. LPA learned a child sustained an injury while playing on the playground apparatus. After conducting interviews, staff was unclear on how the accident occurred, stating they did not witness the child injure themself. The child approached staff complaining about an injury to their private area.

According to sign-in/out sheets, there was between 14 and 17 children present on the playground between the hours of 3:38pm and 4:47pm along with two teachers. One teacher was taking a child to the restroom, while the other was engaging in activities near the play structure with a group of children.

Pictures of the playground and play structure were taken during todays inspection. LPA was provided with pictures of the injury sustained by the child along with an ouch report. LPA attempted to interview the child but was unsuccessful due to the child's limited vocabulary.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy Fields	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2019

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-20190617131806

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
	VISIT DATE: 06/19/2019

NARRATIVE

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Based on LPAs observations and interviews which were conducted and records review, the preponderance of evidence standard 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. An exit interview was conducted with assistant director Nancy Flores. A copy of this report, notice of site visit, and appeal right were provided.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy Fields	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 54-CC-20190617131806

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: 06/19/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/01/2019 Section Cited CCR 101229(a)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs.	1 2 3 4 5 6 7	Assistant Director states training on care and supervision will be provided to staff by POC date 7/1/19. A copy of the agenda and sign-in sheet will be submitted as proof.
	8 9 10 11 12 13 14	The requirement is not met as evidenced by a child sustaining an injury while on the playground and staff had no knowledge of how the injury occurred. This poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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 Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy Fields	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2019

LIC9099 (FAS) - (06/04)

Page: 3 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, 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
06/17/2019 and conducted by Evaluator Timothy Fields

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190617131806

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	198005944
ADMINISTRATOR:	BERNICE GONZALEZ		FACILITY TYPE:	850
ADDRESS:	5251 E. LAS LOMAS		TELEPHONE:	(562) 961-8882
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90815
CAPACITY:	105	CENSUS: 66	DATE:	06/19/2019
		UNANNOUNCED	TIME BEGAN:	09:28 AM
MET WITH:	Nancy Flores		TIME COMPLETED:	01:34 PM

ALLEGATION(S):

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Classroom operating out of ratio.

INVESTIGATION FINDINGS:

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A Complaint investigation was conducted by Licensing Program Analyst, Timothy Fields for the purpose investigating the above allegation. It was alleged the facility was out of ratio on 5/13/19 at approximately 4:14pm. While on the playground an teacher alleged left a staff member on the playground with 17 children while taking an additional child to the restroom.

Based on interviews conducted LPA could not confirm the staff member actually left the playground. According to interviews the staff member walked to a gate leading to a second playground and handed the child off to another teacher. According to sign-in/out sheets, there was between 14 and 17 children present on the playground between the hours of 3:38pm and 4:47pm along with two teachers. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegaed violation did or did not occur, therefore the allegation is unsubstaniated.

An exit interview was conducted with assistant director Nancy Flores. A copy of this report, notice of site visit, and appeal right were provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy Fields	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2019

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

LIC9099 (FAS) - (06/04)

Page: 4 of 4