<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414001398
Report Date: 07/20/2021
Date Signed: 07/20/2021 03:21:35 PM



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
06/21/2021 and conducted by Evaluator Catrina Quimbo
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20210621100349
FACILITY NAME:KINDERCARE LEARNING CENTER LLC (PS)FACILITY NUMBER:
414001398
ADMINISTRATOR:SCHMALZ, DINA (MIMI)FACILITY TYPE:
850
ADDRESS:1350 WAYNE WAYTELEPHONE:
(650) 577-0257
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY:70CENSUS: 50DATE:
07/20/2021
UNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Director, Dina SchmalzTIME COMPLETED:
02:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility did not follow admission agreement.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On July 20, 2021 at 12:35pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, complaint investigation to Kindercare Learning Center LL (PS). LPA met with director, Dina “Mimi” Schmalz. The purpose of the visit was explained to director.

During investigation, LPA conducted classroom observations, interviews and reviewed records and documents. The facility’s admission agreement and/or parent handbook states the involvement of a child’s family during a child’s classroom transition. Alleged allegation occurred April 2021. The facility transitioned a child from their assigned classroom to an older classroom without prior guardian or family consent and/or notification. Facility did not follow admission agreement and/or parent handbook.

Based on LPA’s observations, interviews and record review which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, are being cited. Please refer to 9099D for more information.

After today’s visit, an exit interview was conducted with director, Dina “Mimi” Schmalz. A copy of this report was emailed to dschmalz@kindercare.com with Appeal Rights and Procedures. Upon receipt of this report, director shall post the Notice of Site Visit and any Licensing report documenting a Type “A” deficiency. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain postings as required will result in an immediate $100 civil penalty. This report is public and can be reviewed.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Catrina QuimboTELEPHONE: (650) 393-8293
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2021
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 3
Control Number 05-CC-20210621100349
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: KINDERCARE LEARNING CENTER LLC (PS)
FACILITY NUMBER: 414001398
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/20/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/06/2021
Section Cited
CCR
101219(f)
1
2
3
4
5
6
7
101219(f) Admission Agreements…The licensee shall comply with all terms and conditions set forth in the admission agreement.
This requirement was not met as evidence by:
1
2
3
4
5
6
7
Director stated prior to a child transitions from their assigned classroom to another classroom, their guardian and/or family will be notified in advance with written documentation. Director stated a written documentation form of parents’ acknowledgement of child’s classroom transition will be created. Director to provide staff training on effective communication with parents with written documentation form. .
8
9
10
11
12
13
14
Based on observations, interviews and record review, the facility’s admission agreement states the involvement of a child’s family during child’s classroom transition. The facility moved a child from their assigned classroom to an older classroom without prior guardian consent, notice and/or involvement. Facility did not follow admission agreement or parent handbook. This poses a potential health, safety or personal rights risk to children in care.
8
9
10
11
12
13
14
Evidence of this written documentation fomr will be submitted to LPA no later than 08/06/2021
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Cindy InterianoTELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Catrina QuimboTELEPHONE: (650) 393-8293
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3