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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198005945
Report Date: 05/31/2023
Date Signed: 05/31/2023 03:22:31 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 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
03/08/2023 and conducted by Evaluator Warren Birks
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230308154645
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198005945
ADMINISTRATOR:JENNIFER HOLLANDSWORTHFACILITY TYPE:
830
ADDRESS:5251 E. LAS LOMASTELEPHONE:
(562) 961-8882
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:56CENSUS: 44DATE:
05/31/2023
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Jennifer HollandsworthTIME COMPLETED:
03:22 PM
ALLEGATION(S):
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Staff did not change infant's diaper timely resulting in multiple diaper rashes
Staff did not prevent infant from drinking another child's bottle
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced complaint inspection to deliver findings for the above allegations. LPA met with Director Jennifer Hollandsworth who provided information and assistance for the inspection.

During the course of the investigation, LPA conducted interviews with three infant staff (who cared for child #1), the Assistant Director and the Director. LPA also conducted interviews with outside individuals (connected to the facility). In addition, LPA observed a dry erase board with changing times, child #1's individual file and portal records on the computer.

LPA received no corroborated disclosure regarding: staff not changing diaper resulting in multiple rashes; and staff did not prevent infant from drinking another child's bottle. LPA did observe an October 31st, 2022 report (stating bottle caps were on a bottle in question thus preventing contact with the bottle nipple). Some disclosure also indicated staff observed rashes on child #1 that may have happen prior to arriving at the
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023
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 5
Control Number 54-CC-20230308154645
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: 198005945
VISIT DATE: 05/31/2023
NARRATIVE
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at the facility (on occasion). LPA did not receive any corroborated disclosure (or consistent dated timeline) before and after photos that would help to substantiate the allegation.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, at this time the allegation are Unsubstantiated.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. This report along with a copy of the appeal rights was provided. Exit interview was conducted with Director Jennifer Hollandsworth.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
03/08/2023 and conducted by Evaluator Warren Birks
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230308154645

FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198005945
ADMINISTRATOR:JENNIFER HOLLANDSWORTHFACILITY TYPE:
830
ADDRESS:5251 E. LAS LOMASTELEPHONE:
(562) 961-8882
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:56CENSUS: 44DATE:
05/31/2023
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Jennifer HollandsworthTIME COMPLETED:
03:22 PM
ALLEGATION(S):
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Staff did not prevent infant from becoming overheated outdoors
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced complaint inspection to deliver findings for the above allegation. LPA met with Director Jennifer Hollandsworth who provided information and assistance for the inspection.

During the course of the investigation, LPA conducted interviews with three infant staff, Assistant Director and Director. LPA also reviewed a Heat stress danger chart, child #1's September 15, 2022 Topical Ointmant Authorization (authorizing use of sunscreen when going outside), portal records, September 27, 2022 weather records, and child #1's photo (9/27/2022) with visible flushed red skin on cheeks.

LPA also received corroborated disclosure indicated child #1 had flushed red skin that occurred after outdoor play on the day in question. LPA received disclosure that sunscreen was not applied to child #1. Note: The weather report for the day in question showed of temperature range of 79 to to 84 degrees with 51-56% humidity. The photo of child #1 corroborates with staff disclosure. CONTINUED
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 54-CC-20230308154645
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: 198005945
VISIT DATE: 05/31/2023
NARRATIVE
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Based on interviews, photos and documentation, the preponderance of evidence standard has been met. therefore the above allegation is found to be SUBSTANTIATED.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. This report along with a copy of the appeal rights was provided. Exit interview conducted with Director
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 54-CC-20230308154645
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: 198005945
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/31/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/05/2023
Section Cited
CCR
101223(a)(2)
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Personal Rights: (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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Director indicated she will have all staff undergo training regarding ChildCare in the Summer which covers heat, air quality, appropriate attire and sunscreen and water safety. Director will provide proof of attendance.
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This requirement was not met as evidenced by: LPA received child #1 photo that corroborates with staff disclosure that child #1 had flushed red skin after being outdoors on 9/27/22. LPA also received disclosure that child #1 was not applied sunscreen as directed in the child's Topical Ointment Autjorization. This is potential risk to 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: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5