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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364812756
Report Date: 11/28/2023
Date Signed: 11/28/2023 10:17:23 AM

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
10/24/2023 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20231024102158
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364812756
ADMINISTRATOR:ASHLEY RAWLSFACILITY TYPE:
830
ADDRESS:11249 BASELINE AVENUETELEPHONE:
(909) 581-0944
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:40CENSUS: 24DATE:
11/28/2023
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Ashely Rawls/directorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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9
Facility is operating out of ratio
Staff did not provide adequate supervision resulting in child sustaining multiple bites
Facility not following their policies
INVESTIGATION FINDINGS:
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7
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10
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13
On 11/28/23 at 8:00 am, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent complaint investigation. LPA met with dierctor and was granted access into the facility. LPA toured the facility and took a census.

Allegation: Facility is out of ratio.
It was alleged the facility is out of ratio during the morning.
During tour of facility on 11/28 at 8:00 am, LPA observed the toddler classrooms to be out of ratio. LPA observed there was 2 teachers in classroom #1 with 9 children and 2 teachers in classroom #2 with 10 children.
Based on LPA's own observation the above allegation Facility is out of ratio is substantiated, meaning the preponderance of evidence standard have been met. California Code of Regulations cited on the attached LIC 9099D.
(Cont on 9099C)


Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
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 7
Control Number 09-CC-20231024102158
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: 364812756
VISIT DATE: 11/28/2023
NARRATIVE
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Allegation: Staff did not provide adequate supervision resulting in child sustaining multiple bites

LPA interviewed all pertinent parties, including staff, and reviewed documentation. Pertinent parties stated staff do their best to shadow children who are known to bite; however, sometimes it is hard to watch due to distractions from other children. Pertinent parties stated staff will provide soothing techniques to try and prevent children from biting. Pertinent parties stated at times extra staff will be in the classroom to shadow the children who are known to bite; however, this doesn’t occur all the time.

LPA reviewed (4) injury reports from 9/25/23 to 10/2/23 and noted there were (2) biting incidents (1) on 9/25 and (1) on 9/27. The injury reports indicated there were children who bit other children.
Based on interviews conducted and documents reviewed, there have been multiple incidents where biting has occurred; therefore, the above allegation is substantiated, meaning the preponderance of evidence standard have been met. California Code of Regulations cited on the attached LIC 9099D.

Allegation: Facility not following their policies

It was alleged the Facility was not following their policies by ensuring children are always wearing their shoes and the shoes are tied. LPA interviewed all pertinent parties, reviewed photos, and reviewed the facility’s policy regarding children wearing shoes.

Staff stated children do remove their socks and shoes and when they notice, they will put them back on. Staff stated this is done all day because the children of this age group love to go barefoot. Staff stated when they notice, they will tie children’s shoes; however, there may be times when a child’s shoes are untied. Staff stated they communicate with other staff to ensure children’s shoes are tied at all times.

LPA obtained and viewed (9) photographs, (4) of the (9) photographs showed children’s shoes untied, with staff present; (2) of the photos show a child without shoes and socks on. LPA reviewed the facilities policy regarding children wearing shoes. The facilities policy states children must wear shoes at all times.



(Cont on 9099C)
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 7
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
10/24/2023 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20231024102158

FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364812756
ADMINISTRATOR:ASHLEY RAWLSFACILITY TYPE:
830
ADDRESS:11249 BASELINE AVENUETELEPHONE:
(909) 581-0944
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:40CENSUS: 24DATE:
11/28/2023
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Ashely Rawls/directorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child sustained multiple injuries due to staff neglect
INVESTIGATION FINDINGS:
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2
3
4
5
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7
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10
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13
On 11/28/23 at 8:00 am, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent complaint investigation. LPA met with director and was granted access into the facility. LPA toured the facility and took a census.

Allegation: Child sustained multiple injuries due to staff neglect
LPA interviewed all pertinent parties, including staff. Staff stated they are always observing the children and try to prevent injuries from occurring; however, due to the children’s ages, injuries do occur. Staff stated when a child sustains an injury, staff will provide first-aid, and they will immediately contact the child’s authorized representative through the KinderCare App.


(Cont on 9099C)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
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 7
Control Number 09-CC-20231024102158
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: 364812756
VISIT DATE: 11/28/2023
NARRATIVE
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LPA reviewed (2) injury reports. All injury reports indicate staff provided first-aid and the child’s authorized representative was notified.

There was conflicting information received during the investigation from what was alleged. This agency has investigated the complaint alleging child sustained multiple injuries due to staff neglect. Although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted with director report, appeal rights, acknowledgement of receipt and notice of site visit issued. Notice of site visit must be posted for 30 days.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 09-CC-20231024102158
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: 364812756
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/29/2023
Section Cited
CCR
101416.5(b)
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Staff-Infant Ratio
(b) There shall be a ratio of one teacher for every four infants in attendance.

This requirement was not met as evidenced by
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Director immediately added additional staff to the toddlers’ classrooms. Director stated she will notify the parents at the door; they need to wait for additional staff before drop-off. Director stated she will have a training on regulation 101416.5 (b) and send topic and a list of participants to CCL by 11/29/23.
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Based on LPA's own observation toddler classrooms to be out of ratio. LPA observed 2 teachers in classroom #1 with 9 children, 2 teachers in classroom #2 with 10 children.
This is an immediate risk to the Health, Safety and Personal Rights of children in care.
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Type A
11/29/2023
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision (a)...necassary to meet the children's needs (1) No child(ren) shall be left without the supervision...Supervision shall include visual observation.
This requirement was not met as evidenced by
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7

Director stated will be implementing a biting policy and will train all staff on the biting policy and will provide additional staff to shadow the biting children. Director stated she will send topic and a list of participants to CCL by 11/29/23.
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Based on interviews conducted and documents reviewed, there have been multiple incidents where biting has occurred.
This is an immediate risk to the Health, Safety and Personal Rights of children in care.
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9
10
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14
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: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 09-CC-20231024102158
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: 364812756
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/29/2023
Section Cited
CCR
101173(d)
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7
Plan of Operation (d) The childcare center shall operate in accordance with the terms specified in the plan of operation.

This requirement was not met as evidenced by
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7
Director stated she will re-train staff on footwear policy and will send the topic and list of participants to CCL by 11/29
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Based on photographs obtained and what the facilities policy states, the facility is not following their policy

This is a potential risk to the Health, Safety and Personal Rights of 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: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 09-CC-20231024102158
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: 364812756
VISIT DATE: 11/28/2023
NARRATIVE
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3
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5
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Based on photographs obtained and what the facilities policy states, the facility is not following their policy; therefore, the above allegation is substantiated, meaning the preponderance of evidence standard have been met. California Code of Regulations cited on the attached LIC 9099D.

Exit interview conducted with director report, appeal rights, acknowledgement of receipt and notice of site visit issued. Notice of site visit must be posted for 30 days.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023
LIC9099 (FAS) - (06/04)
Page: 7 of 7