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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364844526
Report Date: 09/22/2021
Date Signed: 09/22/2021 11:05:48 AM



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
08/27/2021 and conducted by Evaluator Justin Giese
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20210827093836
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364844526
ADMINISTRATOR:BRITTANY MCGUIREFACILITY TYPE:
840
ADDRESS:10451 COMMERCE ST.TELEPHONE:
(909) 796-9686
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:26CENSUS: 8DATE:
09/22/2021
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Brenda SandavolTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Facility staff released child to a person not authorized to take child from the facility
Facility staff did not ensure that child is signed in/out
Child was left unsupervised
INVESTIGATION FINDINGS:
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On 09/22/21 at 09:00 am Licensing Program Analyst (LPA) Justin Giese made an unannounced visit to the facility for the purpose of concluding a complaint investigation. LPA met with acting Facility Director, Brenda Sandavol regarding the above allegation(s), which were received on August 27th, 2021.

The following was alleged: Facility staff released child to a person not authorized to take child from the facility

It was reported that on 08/17/2021 facility staff released a child to a relative that was not listed as an authorized representative to pick up the child. Director stated the child had told staff they were going to Karate class after school. An individual arrived at the facility, identified themselves as a relative and corroborated the child’s statements pertaining to Karate class. Director stated they released the child to the individual after they made a copy of the individual’s identification to place it in the Child’s file. The facility, however; did not contact the Child’s authorized representative after they were picked up.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin GieseTELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
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 09-CC-20210827093836
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: 364844526
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/23/0101
Section Cited
CCR
101173(d)
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Plan of Operation - The child care center shall operate in accordance with the terms specified in the plan of operation.



This requirement has not been met as evidenced by:
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Facility Director understands the importance of following the Facility's plan of operations especially pertaining to the release of a child to an unauthorized representative. Facility Director will conduct a training with staff members regarding the release of a child and proper steps to take to verify their identity and notify the proper authorized representative before
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Based on interviews conducted, Facility did not act in accordance of its plan of operation. On 8/17/21 Facility released a child to an unauthorized represenative and did not follow proper steps to verify the individuals relationship prior to releasing the child. This poses an immediate health and safety risk to the children in care.
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releasing the child. Documentation of training/proof of correction will need to be submitted to LPA on or before the date of correction, 09/23/2021.
Type A
09/23/2021
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision - No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.

This requirement has not been met as evidenced by:
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IMMEDIATE CIVIL PENALTY OF $1000 WILL BE ASSESSED for repeat violation of cited regulation within 1 year.

Facility Director understands the importance of providing care and supervision for children in care at all time. Facility director will conduct a training session with staff and submit the outline
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Based on Interviews and records reviewed, on 08/24/21 Staff were unaware a Child went into the restroom and could not account for their whereabouts for the timeframe between 4:15pm and sometime after 5:00pm. This poses an immediate health and safety risk to the children in care.
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of topics discussed regarding toileting, attendance, name to face and updating CSR accurately. Documentation of training/proof of correction will need to be submitted to LPA on or before the date of correction, 09/23/2021.
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) 782-4200
LICENSING EVALUATOR NAME: Justin GieseTELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 09-CC-20210827093836
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: 364844526
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/29/2021
Section Cited
CCR
101229.1
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1 Sign In and Sign Out - The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.



This requirement has not been met as evidenced by:
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Facility Director understands the importance of following proper sign in/sign out procedures and will conduct a training with staff regarding the accuracy of sign in/sign out on a day basis. Documentation of training/proof of correction will need to be submitted to LPA on or before the date of correction, 09/29/2021.
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Based on records reviewed on 09/03/21 LPA noted several deficiencies pertaining to the Sign-In and Sign-Out records where there were missing signatures, and/or the time-In/time-out was not recorded. This poses a potential risk to the health and safety 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) 782-4200
LICENSING EVALUATOR NAME: Justin GieseTELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 09-CC-20210827093836
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: 364844526
VISIT DATE: 09/22/2021
NARRATIVE
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On 09/03/2021 LPA Giese requested a review of the Child’s file for the purpose of verifying the documentation of the individual that picked the child up from the facility. The facility was unable to locate the Child’s file for review or any supporting documentation which granted authorization to the individual to take the child from the facility. In addition, the sign-in and sign-out records for the alleged date of occurrence were left blank.

Based on LPAs observations and interviews the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Please see attached LIC9099D for Type A Deficiency

The following was alleged: Facility staff did not ensure that child is signed in/out

On 09/03/2021 LPA Giese conducted a review of children's files, weekly attendance sheets, and the Sign-In and Sign-Out Records. LPA noted several deficiencies pertaining to the Sign-In and Sign-Out records where there were missing signatures, and/or the "Time-In/Time-Out" was not recorded. In addition, LPA observed records that had nothing recorded, and was left blank instead.

Based on LPAs observations and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Please see attached LIC9099D for Type B Deficiency

The following was alleged: Child was left unsupervised

It was reported that on 08/24/2021 a Child was left unsupervised for over 40 minutes in the facility’s restroom. Facility Child Supervision Records (FCSR) for the alleged date of occurrence indicate Facility Staff logged the Child’s pick-up time as 4:15pm on the FCSR and signed them out for the day on the Kindercare App. According to Staff interviewed, when a Child leaves for the day and is signed out on the Kinder care App a daily report will be sent to the Child’s Representative’s mobile phone.



The Child’s Representative arrived at the facility around 5:00pm and was told by the Assistant Director the Child was picked up for the day and was not present at the facility. When questioned who picked up the child from the facility, Assistant Director could not recall who had picked the Child up and suggested it could have been a relative. This information was given to the Child’s Representative in error, as the sign-in/sign-out logbook did not have any signatures indicating the child was picked up for the day.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin GieseTELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 09-CC-20210827093836
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: 364844526
VISIT DATE: 09/22/2021
NARRATIVE
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Assistant Director went to the classroom to verify if the Child was still in attendance. The Child was in the classroom’s attached restroom sometime after 5:00pm. Staff present in the classroom assumed the Child had already left the facility and admitted to logging them out for the day. Staff were unaware the Child went into the restroom and could not account for their whereabouts for the timeframe between 4:15pm and sometime after 5:00pm

Based on LPAs observations, interviews and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Please see attached LIC9099D for Type A Deficiency

A Civil Penalty of $1000 will be assessed during this investigation for a repeat violation of Responsibility for Providing Care and Supervision within one year. Facility was cited on 10/27/2020 for failure to provide care and supervision. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”.

YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

An exit interview was conducted, and LPA provided the Director with a copy of this report

LPA issued a Notice of Site Visit and verified it was posted in a prominent location at the facility. Licensees understands that the Notice of Site Visit must remain posted for the next 30 days along with a copy of all Type A deficiencies cited during this inspection. A copy of all Type A deficiencies cited during this inspection must also be immediately (within 24 hours of child’s next day in care) given to the parents of all children enrolled in the child care facility and any children enrolled into the child care facility over the next 12 months (at the time of enrollment). Licensees are required to have all parents sign and date the Acknowledgement of Receipt of Licensing Reports (LIC9224) and maintain a copy in each child’s file. A copy of this report, LIC9224 and Appeal Rights (LIC9058) were provided during this inspection.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin GieseTELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5