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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334808839
Report Date: 03/26/2021
Date Signed: 03/26/2021 05:21:35 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
03/09/2021 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20210309155055
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334808839
ADMINISTRATOR:MICHELLE LONGORIAFACILITY TYPE:
850
ADDRESS:1655 HIDDEN VALLEY PARKWAYTELEPHONE:
(951) 898-5677
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:102CENSUS: 37DATE:
03/26/2021
UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Laura Michelle LongoriaTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Facility is operating out of ratio.
Facility staff commingle different age group children
INVESTIGATION FINDINGS:
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On 03/26/2021 at 4:15pm Licensing Program Analyst (LPA) Giselle Carbullido conducted an unannounced tele-investigation regarding a complaint received concerning the above allegations. Due to the executive order issued by Governor Newsom on March 16, 2020 regarding COVID-19 pandemic, this investigation was conducted via tele-inspection (Facetime). LPA was given access to the facility by the Director, Michelle Longoria. LPA discussed purpose of tele visit, took census and toured the facility. LPA met with Ms. Longoria to further discuss the complaint allegations and deliver findings. A tele- inspection was previously conducted on 03/11/21 regarding the complaint, on that visit, interviews were conducted, and records were electronically obtained.
The following was alleged: The facility is operating out of ratio and facility staff are comingling different age group children.
(LPA) Giselle Carbullido investigated the above allegation and gathered the following information:
Regarding program ratio: Staff interviews indicated being out of ratio when short staffed and being aware of ratios for all programs.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
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 4
Control Number 09-CC-20210309155055
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: 334808839
VISIT DATE: 03/26/2021
NARRATIVE
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Samplings of Child Supervision Records (CSRs) from January 2021- March 2021 provided by the facility revealed the facility did operate out of ratio for the following dates, duration and ratio: 01/25/21-2 hours 5 minutes (1 adult,15 children); 01/26/21-37 minutes (1 adult, 16 children); 01/27/21- 2 hours 4 minutes (1 adult, 14 children); 01/28/21-22 minutes (1 adult, 4 children) and 02/5/21- 59 minutes (1 adult, 23 children).

Regarding commingling: Staff and children interviews reported infants and preschool age children observed in the School Age Program. Staff and Director interviews stated infants and preschool children are taken out of the class and put on “hold” (standing with Director/Staff next to or in the school age program and/or going to Facility office located in the front office) to maintain classroom ratios. Director acknowledged entering the School Age Program with children from Infant and Preschool programs when assisting School Age Program in order to maintain ratios.

This agency has investigated the complaint regarding facility operating out of ratio and commingling different age groups of children. Based on LPA’s facility record review(s) and staff and children interviews, the preponderance of evidence standard has been met, therefore the above allegation(s) are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 12 the following deficiencies are found:

See LIC 9099D for deficiencies cited.

An exit interview was conducted, and appeal rights discussed. LPA Carbullido provided Director with a copy of this report, appeal rights and Notice of Site visit via email with an electronic “read receipt”. The electronic read receipt of the emailed report acknowledges receipt of this report. A copy of this report was emailed to Licensee during this Tele-inspection on March 26, 2021.

A copy of this report must be made available to the public upon request for three years.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 09-CC-20210309155055
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: 334808839
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/26/2021
Section Cited
CCR
101216.3(a
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 101216.3(a) - Teacher-Child Ratio
(a) There shall be a ratio of one teacher usually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement was not met as evidenced by:
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Facility Director will submit a staff training agenda on completing Child Supervision Records and a written plan on how ratios will be met in the future to LPA Carbullido by POC due date: 03/27/2021.
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Based upon LPA review of staff interviews and child supervision records provided by the facility, the facility operated out of ratio on the following dates: 01/25/21; 01/26/21; 01/27/21; 01/28/21; 2/5/21. This poses an immediate health and safety risk to 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: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 09-CC-20210309155055
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: 334808839
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/26/2021
Section Cited
CCR
101161(a)
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101161(a) - Limitations on Capacity and Ambulatory Status: A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met as evidenced by:
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Facility Director will submit a written plan outlining how children put on ‘hold’ will be supervised including a sketch showing the location/room to be used including a sign in/out sheet for preschool children and staff.4/9/21.
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Based upon LPA review of staff and children interviews and Director’s own admission the facility did not keep preschool age physically separate from the school age center component in operating within the conditions of their license. This poses a potential health and safety risk to 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: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4