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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364830080
Report Date: 04/08/2024
Date Signed: 04/08/2024 12:08:28 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/06/2024 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20240306100558
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364830080
ADMINISTRATOR:BRIANNE HINDMANFACILITY TYPE:
850
ADDRESS:13615 BEAR VALLEY ROADTELEPHONE:
(760) 949-8539
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:88CENSUS: 88DATE:
04/08/2024
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Jeannette Honnold, Facility RepresentativeTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Allegation- Due to lack of supervision, child threw a chair at another child injuring them.
INVESTIGATION FINDINGS:
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On April 8, 2024, Licensing Program Analyst (LPA) Calloway made an unannounced inspection to the Kindercare Learning Center. The purpose of the visit was to deliver findings regarding the above allegation. LPA met with S1 who granted access. LPA observed 88 children and 15 staff in care.
During the investigation, LPA conducted confidential interviews with complaint relevant parties. On March 6, 2024, inside the Discovery Preschool classroom, Staff #2 was changing diapers in the restroom while Staff #1 was standing at the podium near the front of the classroom. Child #2 was upset in the middle of the classroom threw a chair, and it hit and caused injury to Child #1. Therefore, based on the interviews, the evidence corroborates with the above allegation and the allegation is Substantiated, meaning the Preponderance of the evidence standard has been met.

There is one Type A deficiency cited during this inspection. Per Title 22 Regulations, Division 12, Chapter 1, for Personal Rights 101223 (a)(3). See 9099 D page. This is a repeat violation within twelve months of a prior violation and an immediate civil penalty of $ 250.00 is assessed. See LIC 421FC page.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2024
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 3
Control Number 12-CC-20240306100558
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364830080
VISIT DATE: 04/08/2024
NARRATIVE
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Upon receipt of a Type A deficiency licensee shall post the report for thirty (30) days in addition to the Notice of Site Visit and provide copies of the licensing report to parents/guardians of children in care at the facility. This report must be provided to parents/guardians of children newly enrolled at the facility during the next twelve (12) months and licensee will obtain a signed acknowledgment of Licensing Reports (LIC9224) from parent/guardian and place it in each child's file. If these requirements are not met, civil penalties will be assessed.

An exit interview was conducted, a copy of this report was read, and a Notice of Site Visit, this report, and Appeal Rights were provided to S1 at the facility. A Notice of Site Visit must be posted for thirty (30) consecutive days, failure to comply with posting will result in $100 civil penalty.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20240306100558
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 364830080
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/09/2024
Section Cited
CCR
101223(a)(3)
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101223(a)(3) Personal Rights (a) The licensee shall ensure...child...following personal rights: (3) To be free from corporal or unusual punishment... infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse...This requirement was not met as evidenced by:
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Facility Representative will provide written proof of current plan to prevent from occurring in the future by POC date of 4/9/24.
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Based on interviews, Child 1 sustained an injury while in care without Staff 1 having knowledge, which is an immediate risk to the health, safety, or personal rights of the 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: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3