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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198003049
Report Date: 06/21/2022
Date Signed: 06/21/2022 04:20:28 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/30/2022 and conducted by Evaluator Thelma Razo
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20220330165153
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198003049
ADMINISTRATOR:OLMOS, JAYLEENFACILITY TYPE:
850
ADDRESS:4514 LARK ELLENTELEPHONE:
(626) 332-4001
CITY:COVINASTATE: CAZIP CODE:
91722
CAPACITY:72CENSUS: 50DATE:
06/21/2022
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Jayleen Olmos, DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Daycare child sustained injury while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Thelma Razo made an unannounced subsequent complaint visit to deliver complaint findings. LPA met with Director Jayleen Olmos and stated the purpose of the visit.

LPA Razo conducted the initial visit on 4/6/2022, toured the facility, and obtained Child #1's (C1) pertinent documents. This complaint was investigated by Investigator Olivia Spindola of Investigations Branch (IB). Investigator Spindola interviewed facility staff, and daycare children and obtained copies of C1's records.

Investigation revealed the following:
On 3/29/2022, Child #1 was running across the daycare classroom to throw a tissue used to wipe C1's nose. C1 hit a plastic trash can and sustained a vertical cut on the left side of their forehead and sustained a small cut on the upper lip area. Daycare staff notified the parent who came and transported C1 to the emergency room. C1 received 7 sutures on the left forehead and 2 on the upper lip. Investigator Spindola did not find any evidence that C1 was injured due to neglect by the facility staff. Statements given by the staff and daycare children were consistent on how C1 received the facial injuries. According to information obtained, the Los Angeles Sheriff's Department determined that no crime was committed, therefore, no report was generated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2022
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 33-CC-20220330165153
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 198003049
VISIT DATE: 06/21/2022
NARRATIVE
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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.

Notice of site visit was given and must remain posted for 30 days.

The exit interview was conducted with Director Jayleen Olmos.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2