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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197403508
Report Date: 03/07/2023
Date Signed: 03/07/2023 11:39:12 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/13/2022 and conducted by Evaluator Justeene Tamayo
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20221213090525
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
197403508
ADMINISTRATOR:PILAFAS, LORETTAFACILITY TYPE:
850
ADDRESS:43536 22ND STREET WESTTELEPHONE:
(661) 948-3570
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY:60CENSUS: 24DATE:
03/07/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Loretta Pilafas, DirectorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Allegation:

Neglect/Lack of Supervision:Daycare child was injuried on two seperate occassions due to lack of supervision

INVESTIGATION FINDINGS:
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On 03/07/23, Licensing Program Analyst (LPA) Justeene Tamayo met with Director Loretta Pilafas for the purpose of concluding the investigation concerning the above complaint allegation. LPA toured the facility and observed 24 preschool children in care, along with 3 teachers.

The investigation consisted of interviews with staff, children, and other complaint relevant parties including the review of supportive documentation. It was revealed child #1 was injuried on two seperate occasions. On or around 11/03/22, Child #1 sustained a rug burn and busted lip. On or around 12/12/22, child #1 sustained a knocked out tooth. From interviews conducted, staff #3 and staff #4 observed on both occasions, child #1 ran with a toy truck and accidently tripped and fell on the toy truck. LPA inspected the area where child #1 had fallen. LPA did not observe the inside carpet area to be hazadourous to children in care. The area where the child had fallen has a flat surface.

Based on interviews conducted, there is not enough evidence or witnesses to corroborate the above allegation, therefore, the allegation is rendered Unsubstantiated at this time.

Please see Complaint Investigation Report LIC9099C for additional information.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
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 2
Control Number 12-CC-20221213090525
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 197403508
VISIT DATE: 03/07/2023
NARRATIVE
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A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged allegation occurred.

An exit interview was conducted, and a copy of this report was read and provided to the Director on this date, along with a copy of her appeal rights.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2