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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566209102
Report Date: 07/01/2022
Date Signed: 07/01/2022 12:05:42 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/12/2022 and conducted by Evaluator Austin Rios
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20220412092914
FACILITY NAME:KINDERCARE LEARNING CENTER VENFACILITY NUMBER:
566209102
ADMINISTRATOR:SHAWN SMITHFACILITY TYPE:
850
ADDRESS:1197 S. VICTORIA AVE.TELEPHONE:
(805) 339-9363
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:110CENSUS: 59DATE:
07/01/2022
UNANNOUNCEDTIME BEGAN:
10:53 AM
MET WITH:Alice BurrisTIME COMPLETED:
12:25 PM
ALLEGATION(S):
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Personal Rights-Day care child sustained unexplained bruising while in care
INVESTIGATION FINDINGS:
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On 6/22/2022 at 10:53 AM Licensing Program Analyst (LPA) Austin Rios conducted an unannounced inspection to conclude a complaint investigation. LPA met with Assistant Site Director Alice Burris and explained the nature and the purpose of the inspection. LPA asked Covid-19 screening questions prior to entering the facility. Assistant Director provided LPA a tour of the facility inside and out. There were 59 children in care at the time of the inspection. The department obtained an allegation that Day care child sustained unexplained bruising while in care.

4/11/2022 Reporting Party noticed bruising on child’s inner thigs while changing C1 diaper. Investigation included two unannounced inspections, interviewing complainant, parents of children in care, and staff. LPA reviewed child’s file for documentation regarding incident reports. Parents interviewed expressed satisfaction with the care and supervision provided by this facility and did not have concerns or comments regarding incidents made known to them by the children in care. Parents all reported that facility notifies them of any incidents or injuries that happen there.



Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2022
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 2
Control Number 17-CC-20220412092914
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: KINDERCARE LEARNING CENTER VEN
FACILITY NUMBER: 566209102
VISIT DATE: 07/01/2022
NARRATIVE
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Staff did not see bruising on C1 that day or the next morning. Staff interviews did not corroborate the allegation Although the allegation may have happened or is valid, there is no preponderance of evidence therefore the allegation has been deemed UNSUBSTANTIATED.
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Austin RiosTELEPHONE: (805) 635-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2