198003115-1-9-2024-33-CC-ACHO-CZKTE5-20240117133923

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198003115
Report Date: 01/09/2024
Date Signed: 01/09/2024 10:41:31 AM

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
01/03/2024 and conducted by Evaluator Jennifer Hua

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20240103114954

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: 13	DATE:	01/09/2024
		UNANNOUNCED	TIME BEGAN:	08:41 AM
MET WITH:	Angel Haili & Melissa Garcia		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Staff unknowingly sprayed a cleaning product into a day care child's face.

INVESTIGATION FINDINGS:

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Complaint inspection conducted by Licensing Program Analyst Jennifer Hua. LPA met with assistant director Angel Haili. The purpose of the visit was announced. Covid-19 risk was assessment was conducted. Assistant Director took LPA on a tour of facility and LPA observed 13 infants in care supervised by 5 staff. Director Melissa Garcia arrived at 9:51AM.

During the visit interviews were conducted with assistant director, staff and director.

It was alleged that staff grabbed the bottle with cleaning solution instead of the bottle of water that is use for play with the kids, and sprayed child in the face. Staff noticed there is a scent and realized it was not water.

Per assistant director, she was not present at the time of the incident but was told about it the next day. Staff mentioned confirmed that she gabbed the wrong bottle because it wasn't labeled. Staff stated that at times, they spray water in the air and let the children play/touch the mist as a form of play.

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: 01/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024

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-20240103114954

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: 01/09/2024

NARRATIVE

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Director stated that staff came and told her that she was doing the children's hair and had grabbed the wrong bottle. Staff did not realized it until another staff told her.

This agency has investigated the complaint alleging staff unknowingly sprayed a cleaning product into a day care child's face. . Based on LPA's interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is 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: 01/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20240103114954

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: 01/09/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/10/2024 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	Personal Rights. The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. The requirement is not met as	1 2 3 4 5 6 7	Per director, no longer spray children's hair, only use cleaning solution supplied by the facility, all bottles are labeled. Talked to all staff not to bring their own cleaning solution, and prior to using spray bottle water, to check it and fill bottle with water at that time.
	8 9 10 11 12 13 14	evidenced by: Staff grabbed the bottle of cleaning solution instead of the bottle of water and sprayed it in the air as a form of play, as a result, the cleaning solution touched the child's face. This poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	Director will submit POC in writing by 1/12/24.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: 01/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024

LIC9099 (FAS) - (06/04)

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