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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198003097
Report Date: 04/07/2022
Date Signed: 04/08/2022 09:37:03 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, 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
03/03/2022 and conducted by Evaluator Thelma Razo
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20220303123915
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
198003097
ADMINISTRATOR:MARGIE ZARATEFACILITY TYPE:
850
ADDRESS:3443 S. NOGALES STREETTELEPHONE:
(626) 965-9611
CITY:WEST COVINASTATE: CAZIP CODE:
91792
CAPACITY:60CENSUS: 59DATE:
04/07/2022
UNANNOUNCEDTIME BEGAN:
12:27 PM
MET WITH:Margie Zarate, DirectorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Day care did not inform authorized representative of incident
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Thelma Razo and Lilli Babcock conducted a subsequent visit to render the findings on the allegation that Day care did not inform authorized representative of incident which occurred on 3/2/2022. LPA interviewed C1 and 9 other preschool children, 4 staff, 5 parents, and the Physician's Assistant (PA) at Urgent Care. LPA obtained staff and childrens roster, Incident/Accident Report for Parent/Guardian, Child Supervision Record, picture of the alleged marks on the hand, doctor's notes and PA's information.

It was alleged that on 3/2/2022, Staff #1 (S1) brought in a nonpoisonous snake and C1 was bitten on the hand by the snake. Investigation has revealed that C1 was taken to the Urgent Care on 3/3/22 for the snake bite and other conditions. Based on the marks on C1's hand, it was determined by the treating physician that it was a snake bite. However, there was no evidence to indicate that it happened in the center. According to Director Margie Zarate, the parent was not notified because there was no snake in the center nor did any staff bring in a snake. S1 denied bringing in a snake to the center. There's no statement to corroborate that there was a snake in the center. 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
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022
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-20220303123915
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: 198003097
VISIT DATE: 04/07/2022
NARRATIVE
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occur, therefore at this time the above allegation is unsubstantiated.

Exit interview held, copy of report provided to Director Margie Zarate.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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