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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334809081
Report Date: 03/18/2024
Date Signed: 03/18/2024 02:08:55 PM

Unsubstantiated


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
03/11/2024 and conducted by Evaluator Jessica M Rubio
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240311085540
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334809081
ADMINISTRATOR:TARA MARTINEZFACILITY TYPE:
850
ADDRESS:610 E. NUEVO ROADTELEPHONE:
(951) 943-6476
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY:92CENSUS: 66DATE:
03/18/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Andrea CumpenTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff does not provide adequate supervision resulting in a child being bit by another child.
INVESTIGATION FINDINGS:
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On March 18, 2024 at 12:05 pm, Licensing Program Analysts (LPA), Jessica Rubio and Kelly Gerth arrived announced to Kindercare Learning Center (CCC) and met with Assistant Director (AS) Andrea Cumpen to initiate an investigation regarding the allegation listed above. LPAs conducted a census and interviewed Assistant Director, one staff (S1) and one child (C1).

On March 11, 2024, Community Care Licensing (CCL) received a complaint alleging staff does not provide adequate supervision resulting in a child being bit by another child. Specifically, that staff did not provide adequate supervision resulting in C1 being bit by another child on one occasion. Confidential interviews with S1 revealed they have not seen C1 be bit by any child nor have any issues been brought to their attention by C1. The interview with C1 did not reveal any information that could corroborate the allegation. Additionally interviews and record review did not reveal there had been any incident reports for C1.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 255-4093
LICENSING EVALUATOR NAME: Jessica M RubioTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2024
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 10-CC-20240311085540
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: 334809081
VISIT DATE: 03/18/2024
NARRATIVE
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Based on interviews conducted, the allegation that staff does not provide adequate supervision resulting in C1 being bit by another child, may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. A copy of this report, LIC 811 Confidential Names List and appeal rights were given and explained to Assistant Director Andrea Cumpen. A notice of site visit was also given and must be posted for 30 days.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 255-4093
LICENSING EVALUATOR NAME: Jessica M RubioTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4