198003115-6-1-2023-33-CC-ACHO-CT6VA9-20230626161534

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198003115
Report Date: 06/01/2023
Date Signed: 06/01/2023 12:15:45 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, 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
05/26/2023 and conducted by Evaluator Jennifer Hua

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20230526111846

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	198003115
ADMINISTRATOR:	GARCIA, MELISSA		FACILITY TYPE:	830
ADDRESS:	1175 VIA VERDE		TELEPHONE:	(909) 592-2220
CITY:	SAN DIMAS	STATE: CA	ZIP CODE:	91773
CAPACITY:	44	CENSUS: 20	DATE:	06/01/2023
		UNANNOUNCED	TIME BEGAN:	08:31 AM
MET WITH:	Melissa Garcia		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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Facility is out of ratio
Staff are not administering day care child's prescribed medication

INVESTIGATION FINDINGS:

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Complaint inspection conducted by Licensing Program Analyst Jennifer Hua. LPA entered facility as a parent was coming out. Upon entry LPA was greeted by director Melissa Garcia. LPA observed director was assisting in the 2nd classrooom (PSB/Pre-K). LPA informed director the purpose of the visit. LPA took tour of facility on her own at 8:34am. LPA observed in room Infant A - 4 infants with 1 staff, Infant B - 9 infants with 2 staff and Toddler room - 7 infants with 2 staff. LPA observed assistant director arrived at around 8:54am and another staff arrived at around 9:35am.

Interview conducted with director. Director confirmed that she was alone with 8 infants on 5/19/2023 for about 1-2 hour due to staff calling out. Director also confirmed that child's medication was not administered as instructed. Director stated that there was a miscommunication. A Staff stated that child no longer needs the medication. Director also stated that she could not step away since she was alone with 8 toddlers. LPA also reviewed the medication log and observed date mentioned is not noted on the log that medication was administered.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20230526111846

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: 198003115
	VISIT DATE: 06/01/2023

NARRATIVE

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This agency has investigated the complaint alleging facility is out of ratio and staff are not administering day care child's prescribed medication. Based on LPA's interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22 are being cited on the attached LIC 9099D.

Upon receipt of this report documenting a substantiated complaint allegation and a Type A deficiency, the licensee shall do the following:
1. Post the Notice of Site visit and any licensing report documenting a Type “A” deficiency.
2. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.
3. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year).
4. The Acknowledgement form (LIC 9224) must be maintained in each child’s file immediately upon receipt from parent. A copy of the parent Acknowledgement of Receipt of Licensing Reports Form was provided during this visit.

Exit interview was conducted with director Melissa Garcia, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. .

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20230526111846

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: 198003115
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/01/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/02/2023 Section Cited CCR 101416.5(b)	1 2 3 4 5 6 7	Staff-Infant Ratio. There shall be a ratio of one teacher for every four infants in attendance. The requirement is not met as evidenced by: Director confirmed that on 5/19/2023, she was alone with 8 toddlers for about 1-2 hour. This poses an immedicate health and safety risk to children in care.	1 2 3 4 5 6 7	Per Director, has hired additional staff and still in the process of hiring more staff. Director shall submit a detailed staff schedule outlining staff room assignments and coverage. Director will provide a copy by 06/23/23
Type A 06/02/2023 Section Cited CCR 101226(e)(5)	1 2 3 4 5 6 7	Health Related Service. In centers where the licensee chooses to handle medications: The licensee shall develop and implement a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given.	1 2 3 4 5 6 7	Per Director, will assigned additional to administer medication. Director will submit copy of the inhale medication form to show additional staff can administer medication. Director will submit by 6/23/23.
	8 9 10 11 12 13 14	The requirement is not met as evidenced by: Director confirmed medication was not administered as instructed on the date mentioned due to staff miscommunication and also she was alone with 8 toddlers and couldn't step away . This poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14
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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 Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

LIC9099 (FAS) - (06/04)

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