Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198003094
Report Date: 09/04/2019
Date Signed: 09/04/2019 12:30:07 PM


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
07/03/2019 and conducted by Evaluator Lissete Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20190703173027
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198003094
ADMINISTRATOR:NATILEE CARTERFACILITY TYPE:
850
ADDRESS:455 E. FOOTHILL BOULEVARDTELEPHONE:
(909) 599-0597
CITY:SAN DIMASSTATE: CAZIP CODE:
91773
CAPACITY:96CENSUS: 52DATE:
09/04/2019
UNANNOUNCEDTIME BEGAN:
11:27 AM
MET WITH:Lauren MierTIME COMPLETED:
12:44 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Day care child sustained unexplained injuries while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Lissete Gonzalez conducted an unannounced complaint inspection to conclude the investigation regarding the above complaint allegation. Upon arrival, LPA met with Assistant Director, Lauren Mier, who guided LPA on a tour of the facility. Census was taken.

An investigation was conducted regarding the complaint allegations listed above. Based on the evidence obtained during the investigation through interviews, observation, and record review, the evidence does not support the above allegation. 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.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview conducted with Assistant Director, Lauren Mier. Appeal Rights explained and provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019
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 1