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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334804332
Report Date: 05/21/2019
Date Signed: 05/21/2019 12:21:29 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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/08/2019 and conducted by Evaluator Marlene Wong
COMPLAINT CONTROL NUMBER: 09-CC-20190408135132
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334804332
ADMINISTRATOR:RUBALCABA,BRANDIEFACILITY TYPE:
850
ADDRESS:5445 CANYON CRESTTELEPHONE:
(951) 683-1626
CITY:RIVERSIDESTATE: CAZIP CODE:
92507
CAPACITY:96CENSUS: DATE:
05/21/2019
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Brandie RubalcabaTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Facility staff yelled at child while in care

Facility staff handled child in a rough manner

INVESTIGATION FINDINGS:
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Licensing Program Analysts, Patricia Berry and Marlene Wong, arrived at the facility to conclude the investigation in regards to the above allegations.

Child #1 was hitting Child #2 on the back. Staff ran to Child #1 and told him to stop, but he was not listening or hearing her. She kneeled in front of him and raised her voice to get his attention and then he stopped.
Children interviewed said staff yell at them and they are scared of some of the teachers.

During the interviews conducted, staff stated Child #1 was grabbed by the wrist and pulled down. Child #1 was trying to pull away and Staff #1 kept pulling on him.

Based on the interviews conducted, the allegations are SUBSTANTIATED. A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the evidence standard has been met.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Marlene WongTELEPHONE: (951) 248-0229
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019
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 3
Control Number 09-CC-20190408135132
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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334804332
VISIT DATE: 05/21/2019
NARRATIVE
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Notice of Site Visit issued

Appeal Rights issued

Acknowledgement of Receipt of Licensing Reports was issued

SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Marlene WongTELEPHONE: (951) 248-0229
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20190408135132
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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 334804332
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/31/2019
Section Cited
CCR
101223(a)(2)
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PERSONAL RIGHTS

The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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Director immediately reported the incident to Analyst

Licensee will provide in-service training regarding children's personal rights.

Proof to be submitted to CCLD by 05/31/12019.
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This requirement was not meet as evidenced by staff raising her voice at Child #1.

This poses an immediate risk to the Health and Safety of children in care.
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Type A
05/31/2019
Section Cited
CCR
101223(a)(3)
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PERSONAL RIGHTS

The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature.
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Director immediately reported the incident to Analyst

Licensee will provide in-service training regarding children's personal rights.

Proof to be submitted to CCLD by 05/31/12019.
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This requirement was not met as staff kept pulling on Child #1’s arm. This poses an immediate risk to the Health and Safety of 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: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Marlene WongTELEPHONE: (951) 248-0229
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3