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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364807780
Report Date: 12/06/2022
Date Signed: 12/08/2022 12:08:18 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 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
10/18/2022 and conducted by Evaluator Rachel Zeron
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20221018062150
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364807780
ADMINISTRATOR:DIEHL, JENNIFERFACILITY TYPE:
850
ADDRESS:15928 LOS SERRANOS COUNTRY CLBTELEPHONE:
(909) 606-7744
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:90CENSUS: 51DATE:
12/06/2022
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Juliann Abbott - Assistant Director TIME COMPLETED:
12:45 PM
ALLEGATION(S):
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-Child received injuries while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rachel Zeron arrived at the facility to continue the complaint investigation initiated on 10/18/2022 concerning the above allegation. During the visit, LPA Zeron took a census of the children present, and this time met with Assistant Director, Juliann Abbott to discuss the outcome of the complaint investigation. Based on all the information obtained, the following is the outcome of the investigation regarding the allegation:

During the investigation, LPA made observations, conducted interviews with staff and all other relevant individuals pertinent to this investigation. It is alleged that on 10/07/2022 and 10/12/2022, a child received injuries while in care, the child was sent home with incident reports regarding these injuries. On 10/07/2022,
Child 1 (C1) was scratched on the face and bitten on the chin, then a short time later bitten on the arm by Child 2 (C2). On 10/12/2022, C2 had four separate incidents of bitting with multiple children within a two hours time span. C1 was one of those children, C1 was bitten on the head by C2. On 10/12/2022, when C2's responsible party arrive to pick up C2, a conversation was had about C2 "taking a break", and asked that C2 not return for the next two days. When C2 returned, C2 continued to have bitting incidents. On 10/28/2022, C2 was moved to another classroom and a meeting was held with C2's responsible party to discuss a behavioral plan on 11/02/2022.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951)320-2023
LICENSING EVALUATOR NAME: Rachel ZeronTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
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-20221018062150
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364807780
VISIT DATE: 12/06/2022
NARRATIVE
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Based upon the information gathered and interviews conducted, the preponderance of evidence standard has been met, and therefore, the allegation, Child received injuries while in care is found to be SUBSTANTIATED.

See LIC 9099D for deficiency cited.

An exit interview was conducted, and a copy of this report was reviewed and provided to the Assistant Director, Juliann Abbott. Appeal rights were discussed and provided during the exit interview.

A notice of site visit was given and must remain posted for the next 30 days. Failure to post will result in a civil penalty.

Director must have parents of all current and any newly enrolled clients within the next 12 months, complete the Parent Notification Requirements form LIC 9224, and place the completed form in the child’s facility file. A civil penalty of $100 per violation will be assessed for noncompliance
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951)320-2023
LICENSING EVALUATOR NAME: Rachel ZeronTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 09-CC-20221018062150
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364807780
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/06/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/07/2022
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.
The requirement was not met as evidenced by:
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Assistant Director agreed to have a written plan of action to elevate any further violations of personal rights. Plan is due to LPA by POC date
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Based on interviews conducted and records review it was found that C2 had approximately 10 incidents, including bitting, scratching and hitting within a month period. Facility failed to provide a safe environment for the children in care.
This poses an immediate health, safety or personal rights risk to persons 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: Aaron RossTELEPHONE: (951)320-2023
LICENSING EVALUATOR NAME: Rachel ZeronTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4