410517739-8-6-2021-05-CC-AZEA-C5QRKL-20210809130543

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 410517739
Report Date: 08/06/2021
Date Signed: 08/06/2021 09:14:47 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/25/2021 and conducted by Evaluator Jennifer Yee

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20210225142948

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	410517739
ADMINISTRATOR:	ENGRAM, REBECCA		FACILITY TYPE:	830
ADDRESS:	1006 METRO CENTER BLVD		TELEPHONE:	(650) 573-6023
CITY:	FOSTER CITY	STATE: CA	ZIP CODE:	94404
CAPACITY:	52	CENSUS: 8	DATE:	08/06/2021
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Director, Minh Uyen		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Child sustained a fractured femur while at the daycare facility

INVESTIGATION FINDINGS:

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Licensing Program Analysts, LPA Yee met with the site director, Minh Uyen to close this complaint. The purpose of the inspection was explained. There are 8 children present today. The Department's Investigation Branch (IB) has investigated this complaint and determined the finding to be unsubstantiated.
The reporting party believed the child injured the leg while at daycare. Reporting party was interviewed. Staff members were interviewed. Medical records were obtained. Daycare parents were interviewed and they reported no concerns regarding the care or supervision of children in the infant room. 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.

This report was reviewed and discussed with the site director, Minh Uyen

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer Yee	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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