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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334808839
Report Date: 11/01/2023
Date Signed: 11/01/2023 02:24:48 PM

Substantiated


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
10/10/2023 and conducted by Evaluator Elyse Jones
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20231010111820
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334808839
ADMINISTRATOR:IVAMAE HANEYFACILITY TYPE:
850
ADDRESS:1655 HIDDEN VALLEY PARKWAYTELEPHONE:
(951) 898-5677
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:102CENSUS: 54DATE:
11/01/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Ivamae Haney, DirectorTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Child sustained multiple bites while in care
INVESTIGATION FINDINGS:
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On November 1, 2023, Licensing Program Analyst (LPA) Elyse Jones arrived at the facility to conclude the investigation regarding the above allegations. During the investigation, LPA toured the facility, interviewed pertinent parties, and collected documentation.

On October 10, 2023, a complaint was received alleging child sustained multiple bites while in care. It was specifically alleged a child received approximately 10 injuries in less than a year of being enrolled at the facility. The injuries included multiple bites and multiple scratches on the face from another individual and two black eyes. During the investigation, interviews were conducted with all pertinent parties and records were reviewed, which included Ouch/Injury Reports, Unusual Incident Report(s), and photographs.

Information and documentation collected during the course of the investigation revealed a child has been bitten or received other injuries on numerous occasions from January 2023 to October 2023.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023
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 5
Control Number 09-CC-20231010111820
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: 11/01/2023
NARRATIVE
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There were at least three Incident/Accident Reports provided to Licensing involving the same child. However, Staff stated there were at least 5-7 incidents but all of the Incident/Accident Reports could not be located during the inspection. Although most of the bites generated an Incident/Ouch Report for Parent/Guardian, which were signed by the staff in charge and the Parent/Guardian, nothing substantial was implemented, in order to curve the biting. Shadowing or keeping the infants/toddlers close was suggested but, additional staff or instruction was not provided for it to be effective.

Facility information received throughout the investigation revealed staff were aware that closer supervision was required, however, facility failed to arrange for additional supervision to meet the needs of the children in the class and to protect the safety of children in care.

Based on records review, interviews conducted and staff's own admission. It was confirmed that the facility was out of compliance. Therefore, the preponderance of evidence standard has been met, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, divisions & chapter number are being cited on the attached LIC 9099D.)

See LIC 9099-D for the deficiencies cited.

LIC 9224/Type A citation(s) must be provided to parents/guardian of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for the verification.

The Technical Support Program was discussed with the Director. A brochure was left with the Director during this inspection.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Ivamae Haney, Director.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
10/10/2023 and conducted by Evaluator Elyse Jones
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20231010111820

FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334808839
ADMINISTRATOR:IVAMAE HANEYFACILITY TYPE:
850
ADDRESS:1655 HIDDEN VALLEY PARKWAYTELEPHONE:
(951) 898-5677
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:102CENSUS: 54DATE:
11/01/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Ivamae Haney, DirectorTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff handled a child in a rough manner
INVESTIGATION FINDINGS:
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On November 1, 2023, Licensing Program Analyst (LPA) Elyse Jones arrived at the facility to initiate and conclude the investigation regarding the above allegations. During the investigation, LPAs toured the facility, interviewed pertinent parties, and collected documentation.

On October 10, 2023, a complaint was received alleging staff handled child roughly which resulted in an injury. It was alleged a child has “Nursemaid Elbow”, facility staff is aware, and has been asked to handle the child with caution.

During interviews, staff stated they are aware the child has “Nursemaid Elbow”; however, staff stated they have never handled the child roughly.They were not aware of that anything occuring while in care until diaper changing time when the child was complaining about pain in the wrist.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 09-CC-20231010111820
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: 11/01/2023
NARRATIVE
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Due to conflicting statements given during interviews with pertinent parties, the Department is unable to determine if the injury to the elbow occurred while in care or if it was caused by staff handling the child roughly.

This agency has investigated the complaint regarding the above allegation. Based on the interviews conducted, the allegations are UNSUBSTANTIATED. A finding of unsubstantiated means, although the allegations may have happened, or are valid, there is not a preponderance of the evidence to prove the allegations occurred.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with Director, Ivamae Haney.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 09-CC-20231010111820
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: 11/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/02/2023
Section Cited
CCR
101223(a)(2)
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Personal Rights. Each child shall be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement was not met as evidenced by: Based on the interview and record review, the Licensee did not meet the
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Director agrees to provide staff with training on, but not limited to, Personal Rights and Supervision. Memo of topics to discuss and date of training is due to the Department on or by POC due date of 11-2-2023. Training sign sheet is due within 24hrs of training listed on the memo. Director agrees to submit a
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Personal Rights regulation which poses an immediate Health, Safety & Personal Rights risk to the children in care. There were at least 5-7 incidents documented involving a child being bitten and scratched by other children. The Director confirmed the indicidents reported did occur while in care.
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written statement outlining how the facility plans to curve the behavior, ensure the facility is in compliance with the Personal Rights regulation and enforce Parent Handbook. TSP brochure was provided during this inspection.
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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: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5