304270924-4-28-2021-06-CC-JHAN-C2L2D4-20210430171743

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304270924
Report Date: 04/28/2021
Date Signed: 04/28/2021 01:22:22 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/21/2021 and conducted by Evaluator Dean Valencia

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20210421132001

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	304270924
ADMINISTRATOR:	SAUNDERS, VALERIE		FACILITY TYPE:	830
ADDRESS:	855 PASEO WESTPARK		TELEPHONE:	(949) 262-0260
CITY:	IRVINE	STATE: CA	ZIP CODE:	92604
CAPACITY:	32	CENSUS: 16	DATE:	04/28/2021
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Valerie Saunders		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility out of Ratio.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Dean Valencia conducted an unannounced complaint inspection on today's date, 4/28/2021. LPA met with director, Valerie Saunders, who guided LPA on a tour of the facility and census of children was documented. 16 children and 4 staff were present in the 2 classroom s on the infant license. During today’s inspection it was observed the facility was operating within its licensed capacity and within compliance of ratios. On 4/21/2021 a complaint was filed with the Department alleging Facility is out of ratio. During the course of the investigation, LPA interviewed director and 4 other staff, (see Confidential Names List LIC811), made a physical inspection, and reviewed sign in/out forms of staff and children on the days of alleged lack of compliance with ratio.
During the interviews with director and staff it was disclosed that the facility had had issues with 2 staff calling out sick and quiting suddenly, leading to the facility having some ratio issues. It was specifically stated that the week of Monday 4/5 was when these issues arose and there was times at which the toddler room was out of compliance with ratio.
(continued on LIC9099C)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: (714) 215-6737
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021

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 06-CC-20210421132001

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 304270924
	VISIT DATE: 04/28/2021

NARRATIVE

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LPA reviewed sign in/out forms for children and staff from the time period of Monday 4/5 to Wednesday 4/7. LPA observed in the time sheets, that on Monday 4/5 2 infant staff were supervising 9 children from 10:30am to 3:30pm. Due to nap time being approximately 11:30am to 2pm, LPA can safely determine this toddler classroom was out of compliance of ratio for approximately 2 and a half hours.

Based on the interviews and observations of documentation of sign in/out forms of children and staff, LPA has determined the toddler classroom was out of ratio of the 1 staff to 4 infant (under 2 years old) ratio for approximately 2 and a half hours. This allegation has been substantiated. This constitutes a violation of operation of Title 22 Regulation code 101416.5(b). In addition, an A violation of Title 22 Regulation 101416.5(b) has been issued. Based on this gathered information, the preponderance of evidence standard has been met, and therefore the above allegation is found to be substantiated.

Due to the Type A violation cited today, the facility must post, and provide copies of the report to parents/guardians of the children in care at the facility by the next business day, and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. The facility is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. In addition, the facility shall immediately post upon receipt the Proof of Correction for 30 consecutive days. They were provided a copy of appeal rights and their signature on this form acknowledges receipt of these rights. The licensee was also provided a copy of Staff Infant Ratio Title 22 Regulations, and LPA reviewed these regulations with the director.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: (714) 215-6737
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 06-CC-20210421132001

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 304270924
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/28/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/28/2021 Section Cited CCR 101416.5(b)	1 2 3 4 5 6 7	Staff Infant Ratio. There shall be a ratio of one teacher for every four infants in attendance. 101416.5(b) Based on the interviews and observations of documentation of sign in/out forms of children and staff, LPA has determined the toddler classroom was out of ratio of	1 2 3 4 5 6 7	LPA discussed the Title 22 Staff Infant ratio with director. Director stated there was unpresedented staffing issues that unexpededly arose the day of the ratio issue, 4/5. One staff unexpetedly called out sick, and another quit the business day prior.
	8 9 10 11 12 13 14	the 1 staff to 4 infant ratio for approximately 2 and a half hours. This is an immediate threat to the children's health and safety.	8 9 10 11 12 13 14	Director has since began hiring to increase staffing to prevent this ratio issue from happening again.
	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: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: (714) 215-6737
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2021

LIC9099 (FAS) - (06/04)

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