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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334808840
Report Date: 10/02/2019
Date Signed: 10/02/2019 02:36:55 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
08/12/2019 and conducted by Evaluator Carlos Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20190812142434
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334808840
ADMINISTRATOR:KARI SANDERSFACILITY TYPE:
840
ADDRESS:1655 HIDDEN VALLEY PARKWAYTELEPHONE:
(951) 898-5677
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:28CENSUS: 9DATE:
10/02/2019
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Michelle Longoria, Center DirectorTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Facility staff is not providing a nutritious snack.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA's), Taadhimeka Ziegler and Carlos Martinez, made a subsequent unannounced complaint investigation visit to deliver the findings for the above referenced allegation. LPA met with Michelle Longoria, Center Director, who was informed of the decision rendered.


According to Title 22 Regulations, when snacks are beign offered in a child care center, "each snack shall include at least one serving from each of two or more of the four major food groups. Per interviews conducted, and information gathered, LPA Martinez observed that the center was providing only one serving of the major food groups along with water. Therefore, based on the investigation findings, LPA Martinez determined that the allegation that the facility is not providing a nutritious snack is SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos MartinezTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2019
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-20190812142434
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: 334808840
VISIT DATE: 10/02/2019
NARRATIVE
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Exit interview was conducted with Michelle Longoria, Center Director, appeal rights were explained, and a Notice of Site Visit was issued and must be posted for 30 days.

A copy of this report was provided to the facility. This report must be made available for public review for 3 years upon request.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos MartinezTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20190812142434
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: 334808840
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/02/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/16/2019
Section Cited
CCR
101227(A)(4)
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FOOD SERVICES:

Between meals, snacks shall be available for all children unless the food a child may eat is limited by dietary restrictions prescribed by a physician. Each snack shall include at least one serving from each of two or more of the four major food groups. This requirement
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The Center Director informed LPA that the center began providing (2) servings of the major food groups for snack time. During visit, LPA observed that the menu offered 2 food items for snack time.

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was not met as evidenced by: During course of investigation, LPA Martinez verified that the facility was providing only one serving of the major food groups.
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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: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos MartinezTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3