334804330-12-7-2021-10-CC-CMAZ-C9WS2J-20211221122934

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334804330
Report Date: 12/07/2021
Date Signed: 12/07/2021 04:14:59 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):

1
2
3
4
5
6
7
8
9

Director asked daycare child to erase a video on his personal phone.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

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 the Director asked a child to erase a video on his personal phone. Based on interviews, there were instances that the school age child was asked to put away his phone in his backpack and an instance when one of the staff had retrieved the phone from his backpack without his permission.

See LIC9099-C for continuation of this report.

Unsubstantiated

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)

Page: 1 of 2

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

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Based on the information obtained through interviews, LPA cannot determine if the Director or another staff asked the child to erase a video on his personal phone. Therefore, based on the information gathered, the allegation is UNSUBSTANTIATED.

From the information received by interviews with staff, and children the above allegation cannot be verified. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED

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)

Page: 2 of 2