334804330-12-7-2021-10-CC-CMAZ-C9WS2H-20211221122934

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334804330
Report Date: 12/07/2021
Date Signed: 12/07/2021 04:12:57 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
10/27/2021 and conducted by Evaluator Sumayya Habeebulla

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20211027114004

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: 32	DATE:	12/07/2021
		UNANNOUNCED	TIME BEGAN:	02:48 PM
MET WITH:	THERESA SALLEY		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Teacher treated daycare child roughly.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA’s) Sumayya Habeebulla arrived at the facility for the purpose of conducting a subsequent complaint investigation visit to deliver the findings on the above referenced allegation. LPA met with Director Theresa Salley and discussed the above allegation. LPA interviewed 1 school age child during this visit.

There is an allegation that a staff treated daycare child roughly. During Annual inspection on 12/03/21, LPAs Noble and Al Maraz observed a staff in Preschool was raising her voice and yelling at a preschool child. The tone of voice was elevated and not her normal tone as observed by LPA Habeebulla during interview.

See LIC9099-C for continuation of this report.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Sumayya Habeebulla	TELEPHONE: 951-201-1991
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021

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-20211027114004

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: 12/07/2021

NARRATIVE

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Based on the information obtained through interviews and observations, it was determined that on 10/21/21 the same Preschool teacher entered the school age classroom and yelled at a child, grabbed him by the wrist and took him to a chair. The staff also grabbed the paper the child was coloring on, ripped it and tossed it in the trash.

From the information received by interviews with staff and students the above allegation of Personal Rights has been Substantiated at this time.

An exit interview was conducted, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Sumayya Habeebulla	TELEPHONE: 951-201-1991
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20211027114004

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: 12/07/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/09/2021 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from ..., infliction of pain, humiliation, intimidation,... or other actions of a punitive nature....	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)(3) and provide a list of attendees with signatures. The Director will provide this to CCLD by the due date of 12/09/2021.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Based on the interviews Staff #6 entered the School age classroom and yelled at the children for not cleaning up and/or following directions from their teacher. She also grabbed the subject child and yanked the paper the child was coloring >>>	8 9 10 11 12 13 14	>>> on, tore it and tossed it in the trash. Based on interviews and observations, the LPA determined that the Facility violated Subject Child’s Personal Rights, which poses an immediate health and safety risk to the 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: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Sumayya Habeebulla	TELEPHONE: 951-201-1991
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021

LIC9099 (FAS) - (06/04)

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