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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 11:37:30 AM

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
02/23/2024 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20240223120541
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:
10:52 AM
MET WITH:Jeannette Honnold, Facility RepresentativeTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Allegation #1- Staff do not ensure required ratios are maintained.
Allegation #2- Staff did not provide adequate supervision, resulting in a day care child sustaining an injury.
INVESTIGATION FINDINGS:
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On April 8, 2024, Licensing Program Analyst (LPA) Calloway made an unannounced inspection to Kindercare Learning Center. The purpose of the visit was to deliver findings for the above allegations. LPA met with S1 who granted access. LPA toured with S1 and observed 88 children and 15 staff in care.

During the investigation, LPA conducted confidential interviews with complaint relevant parties and record reviews of sign in and out sheets. On February 26, 2024, Staff 1 was observed supervising fifteen children without assistance of an aide therefore, based on interviews and record reviews the evidence corroborates with Allegation #1 on Ratio and is Substantiated, meaning the preponderance of the evidence standard has been met.

Per Title 22 Regulations, Division 12, Chapter 1, there is one Type B deficiency cited during this inspection for Ratio- 101216.3(a)(1). See 9099 D 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 5
Control Number 12-CC-20240223120541
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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Also, within the investigation, LPA conducted confidential interviews with complaint relevant parties. On February 22, 2024, Child 1 sustained an injury when teacher inadvertently closed the window on their hand. Therefore, the evidence corroborates with Allegation #2 on Personal Rights and is Substantiated, the preponderance of the evidence standard has been met.

Per Title 22 Regulations, Division 12, Chapter 1, CCR, there is one (1) Type A deficiency cited during this inspection for 101223(a)(3)- Personal Rights. See 9099 D page. This is repeat violation within twelve months of a prior violation therefore, an immediate civil penalty of $250.00 is assessed per H&SC 1569.49 (b)(2)(A). See LIC 421IM page.

Upon receipt of a Type A deficiency licensee shall post the report for 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 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 and 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 5
Control Number 12-CC-20240223120541
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 that each child is accorded the following personal rights: (3) To be free ... intimidation, ridicule, coercion, threat, mental abuse or other actions...unitive nature...This requirement was not met as evidenced by:

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Facility Representative will provide a written statement of how to prevent in the future to Licensing 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 5
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
02/23/2024 and conducted by Evaluator Kuliema Calloway
COMPLAINT CONTROL NUMBER: 12-CC-20240223120541

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:
10:52 AM
MET WITH:Jeannette Honnold, Facility RepresentativeTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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2
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Allegation #1- Staff do not ensure cleaning solutions are inaccessible to day care children.
Allegation #2 - Staff handled day care child in a rough manner.
Allegation #3 - Staff do not ensure the facility is clean.
Allegation #4 - Staff do not ensure the facility is free from odor.

INVESTIGATION FINDINGS:
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On April 8, 2024, Licensing Program Analyst (LPA) Calloway made an unannounced inspection to Kindercare Learning Center. The purpose of the visit was to deliver findings for the above allegations. LPA met with S1 who granted access. LPA toured with S1 and observed 88 children and 15 staff in care.
During the investigation, LPA conducted confidential interviews with complaint relevant parties. Based on the interview, there was not enough evidence to corroborate with the above allegations.

Therefore, the above allegations on Personal Rights are Unsubstantiated, meaning the allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted, and a copy of this report was read, Notice of Site Visit were provided to the Facility Representative, (S1) at the facility. A Notice of Site Visit must remain posted for thirty (30) consecutive days. Removal of posting is subject to a $100 civil penalty.

Unsubstantiated
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: 4 of 5
Control Number 12-CC-20240223120541
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 B
04/09/2024
Section Cited
CCR
101216.3(a)(1)
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101216.3(a)(1) Teacher-Child Ratio (a)There shall be a ratio of one teacher visually...supervising no more than 12 children... except as specified in (b) and (c) below. (1) The number of children in attendance shall not exceed...This requirement was not met as evidenced by:
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Facility Representative will provide written statement of current plan in place by chosen POC date of 4/9/24.
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Based on interviews and record reviews, Staff 1 was observed providing care to fifteen-day care children without assistance of an aide which poses a potential health, safety, or personal rights risk to 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: 5 of 5