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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370403
Report Date: 08/07/2019
Date Signed: 08/07/2019 11:13:29 AM



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
08/06/2019 and conducted by Evaluator Mahnaz Malek
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20190806093707
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304370403
ADMINISTRATOR:GONZALEZ, VERONICAFACILITY TYPE:
830
ADDRESS:26912 ESTANCIERO DRIVETELEPHONE:
(949) 830-7660
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:20CENSUS: 7DATE:
08/07/2019
UNANNOUNCEDTIME BEGAN:
07:55 AM
MET WITH:DirectorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Classroom operating out of ratio.
INVESTIGATION FINDINGS:
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Page 1
Licensing Program Analysts (LPA) Mahnaz (Nancy) Malek and LPA Tina Nguyen conducted an investigation regarding the above complaint allegation. LPAs met with director, Veronica Gonzalez. Census was taken. There were a total of 7 awake infants and toddles with 2 staff observed in the infant room. Toddler room was not in use yet. A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
Our office received an anonymous complaint regarding the above allegation. According to complaint report, it has been noticed that the infant room has been very crowded lately. It has been observed for the past week there has been just one staff caring for about 8 infants at the beginning of the day.

Continued on page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019
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 06-CC-20190806093707
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: 304370403
VISIT DATE: 08/07/2019
NARRATIVE
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LPAs interviewed total of 7 staff who have worked in the infant/toddler program. The staff denied being out of ratio although there were discrepancies in the staffs' statements. LPA reviewed the internal Kindercare documentation for children which is called Child Supervision Records (CSR). LPAs reviewed the parents' sign in and out of children's time and date randomly for last week and this week. The staffs' time cards showing their time in and out were also reviewed. LPA also talked to two children's representatives at the time of dropping off their children. LPAs found some discrepancies on the CSR documentarians as far as time in and out of staff and children. Based on all the information received by interviews and reviewing of documents today there are not enough evidence, witness, and documentation to support if the allegation is true or not.
This agency has investigated the complaint alleging staff did not use best practices with the child, 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.

The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) was provided and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.

Exit interview was conducted.

An updated pamphlet regarding safe sleep regulations in childcare and a pamphlet for lead poisoning facts were given to the director on the last inspection date.

This report ends here.
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2