334804330-5-3-2021-10-CC-DPAR-C2Q2WE-20210504174521

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334804330
Report Date: 05/03/2021
Date Signed: 05/03/2021 12:35:08 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/05/2021 and conducted by Evaluator Lakesha Edwards

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20210305121113

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	334804330
ADMINISTRATOR:	THERESA SALLEY		FACILITY TYPE:	840
ADDRESS:	11961 PERRIS BLVD		TELEPHONE:	(951) 243-6558
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92557
CAPACITY:	42	CENSUS: 15	DATE:	05/03/2021
		UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Theresa Salley-Director		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Staff not treating child with dignity.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) LaKesha Edwards arrived at the facility arrived at the facility to deliver findings for a complaint investigation on the above allegation. LPA conducted COVID-19 Screening questions before entering the facility. LPA was granted entry and met with the Site Director, Theresa Salley.

An initial 10-day visit was conducted on 03/05/2021. LPA took census and toured the facility.

It is alleged that staff is not treating a child with dignity. LPA conducted interviews with pertinent parties regarding the allegation. During interviews, one of the children stated, they had a toy then they hide the toy from their friend, their friend told the teacher and the child got in trouble. When the child asked the staff member why they were in trouble, the child was told not to act dumb.

Continued on 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Lakesha Edwards	TELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021

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 10-CC-20210305121113

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 334804330
	VISIT DATE: 05/03/2021

NARRATIVE

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The child stated this made them feel sad as they don’t want to feel like they don’t know anything and also mad. When LPA interviewed other children, other children stated they did not see when this happened but the other children felt the alleged staff member is not very nice to the children. In interviewing other staff, it was disclosed to the LPA that some staff maybe more patient in dealing with the children that have behavior challenges then others and that this alleged staff member is a firm person and likes things done her way.

After conducting interviews with witnesses that were consistent in their statements that establishes and concludes the alleged teacher is not so nice, is a firm person and has caused some of the children to feel scared, sad or mad, the allegation of staff not treating child with dignity, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Divisions 1 & Chapter 12) are being cited on the attached LIC 9099D/809D”)

Exit interview conducted with Director and copy of report given. LPA observed the Director post the Notice of Site.

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Lakesha Edwards	TELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20210305121113

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 334804330
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/03/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/07/2021 Section Cited CCR 101223(a)(1)	1 2 3 4 5 6 7	101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: (1)To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	The Director has agreed to have a refresher training with staff on Title 22 Regulation Personal Rights 101223(a)(1) and provide a list of attendees with signatures. The Director will provide this to CCLD by the due date of 5/7/2021.
	8 9 10 11 12 13 14	Based on interviews conducted, LPA has verified through interviews a staff member has spoken to a child in a way that caused the child to feel sad, embarrassed and mad while in care. Other children stated the staff member is not so nice. This causes a potential risk to the Health and Safety of children in care.	8 9 10 11 12 13 14
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	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: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Lakesha Edwards	TELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021

LIC9099 (FAS) - (06/04)

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