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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566209102
Report Date: 03/21/2023
Date Signed: 03/21/2023 02:11:49 PM

Substantiated


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
02/08/2023 and conducted by Evaluator Rona Chavez
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230208123236
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: 33DATE:
03/21/2023
UNANNOUNCEDTIME BEGAN:
09:36 AM
MET WITH:Shawn Smith TIME COMPLETED:
11:03 AM
ALLEGATION(S):
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Personal Rights
Personal Rights
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Rona Chavez and Giovanni Gonzalez made an unannounced visit to conclude a complaint investigation. LPA met with Director Shawn Smith and together toured the facility inside and out. During the inspection there were 33 children in care and 5 teachers.

Allegations stated that a child enrolled at the center sustained unexplained injury while care and childs needs were not met resulting in diaper rash. The investigation included two (2) unannounced inspections, interviews with staff and parents, Director, record reviews and LPA observations.

Over the course of the interviews and document review it was determined that staff were not meeting the diapering needs of children in care resulting in diaper rash and that children in care sustained unexplained injury. Parents reported not recieving a incident report and/or a follow up regarding what happend to the children.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona ChavezTELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023
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 4
Control Number 17-CC-20230208123236
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: 03/21/2023
NARRATIVE
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Based on LPA interviews and document reviews, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. A Type B deficiency for Personal Rights is cited on the attached LIC 9099-D. (California Code of Regulation, Title 22 Division 12 101223 (a)(2))

Director and LPAs discussed Plan of Correction (POC) and facility will provide a written statement of how the facility will meet the needs of children in care and submit to LPA via email rona.chavez@dss.ca.gov.


A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Director Shawn Smith .
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona ChavezTELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 17-CC-20230208123236
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/21/2023
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(2) To be accorded safe, healthful and comfortable....

This requirement is not met as evidenced by:
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Submit a written plan of correction addressing how staff will meet the needs of children in care by email to LPA Chavez. rona.chavez@dss.ca.gov or ana.tolentino@dss.ca.gov for review by 4/14/2023.
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Interviews and review of documentaiton revealed that children sustained unexplained injuries in care and staff failed to meet the diapering needs of children in care.
This poses an immediate 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: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona ChavezTELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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
02/08/2023 and conducted by Evaluator Rona Chavez
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20230208123236

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: 33DATE:
03/21/2023
UNANNOUNCEDTIME BEGAN:
09:36 AM
MET WITH:Shawn Smith TIME COMPLETED:
11:03 AM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Personal Rights
Personal Rights
INVESTIGATION FINDINGS:
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LPA Chavez amended findings on 3/23/2023 due to error on original report. Will send by email to Director.
On March 21, 2023 at 09:36 AM Licensing Program Analysts (LPAs) Rona Chavez and Giovanni Gozalez conducted an unannounced inspection to conclude a complaint investigation. LPA met with Director Shawn Smith and explained the nature and the purpose of the inspection. Director provided LPA a tour of the facility inside and out. There were 33 children in care at the time of the inspection. The department obtained allegations that Staff allowed a parent to smoke on the premises of the facility and that staff engaged in an escalated argument in front of children in care.
Interviews were conducted with staff and parents of children in care. Parents indicated they had not witnessed or heard about a staff arguing in front of the children. Parents also were notified/reminded by messaging app regarding the no smoking ordinance. Based on LPA interviews and observations the above allegations are Unsubstantiated. Although the above 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 above allegation is Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ana TolentinoTELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Rona ChavezTELEPHONE: (424) 299-1480
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023
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 4