<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270340
Report Date: 10/25/2019
Date Signed: 10/25/2019 03:39:10 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/02/2019 and conducted by Evaluator Stacy Torrence
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20191002142357
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270340
ADMINISTRATOR:STRAND, STEPHANIEFACILITY TYPE:
830
ADDRESS:3223 ASSOCIATED ROADTELEPHONE:
(714) 990-6924
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY:32CENSUS: 14DATE:
10/25/2019
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Stephanie StrandTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is not following infant's food care plan.
Facility did not follow sign out procedures
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Torrence conducted an unannounced complaint inspection on 10/25/2019 to follow-up on the complaint investigation that was conducted on 10/10/2019. LPA met with Stephanie Strand who guided analyst on a tour of the Early Childhood Setting indoors and outdoors. There were six infants present in Room #1, with two staff supervising and eight infants present in Room #2 with two staff supervising. During today’s inspection, LPA Torrence interviewed one additional staff. During today’s investigation the facility was operating within its licensed capacity and within compliance of staffing ratios. A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Allegation: facility is not following infant’s food care plan. Per complainant, a daily report for September 16th and 17th was sent to her regarding her child’s naps, meals, and bathroom activities. Complainant stated that her child was not being feed according to her feeding plan. LPA reviewed the child’s Needs and Service Plan and it indicated to feed child every three hours. Staff reported that they use a tablet to receive messages from parents regarding feeding instructions.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/02/2019 and conducted by Evaluator Stacy Torrence
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20191002142357

FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270340
ADMINISTRATOR:STRAND, STEPHANIEFACILITY TYPE:
830
ADDRESS:3223 ASSOCIATED ROADTELEPHONE:
(714) 990-6924
CITY:FULLERTONSTATE: CAZIP CODE:
92835
CAPACITY:32CENSUS: 14DATE:
10/25/2019
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Stephanie StrandTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is operating out of ratio.
Staff failed to change crib bedding for infant.
Infant's needs are not being met by facility.
Lack of Supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Torrence conducted an unannounced complaint inspection on 10/25/2019 to follow-up on the complaint investigation that was conducted on 10/10/2019. LPA met with Stephanie Strand who guided analyst on a tour of the Early Childhood Setting indoors and outdoors. There were six infants present in Room #1, with two staff supervising and eight infants present in Room #2 with two staff supervising. During today’s inspection, LPA Torrence interviewed one additional staff. During today’s investigation the facility was operating within its licensed capacity and within compliance of staffing ratios. A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Allegation: facility is operating out of ratio. Complainant stated that on September 16th when she dropped her child off in Room #2, there were five infants to one teacher. Complainant reported, on that day, she arrived at the facility at 7:20 a.m. or 7:30 a.m. Two staff stated that they are the openers and receive arriving children in Room #2. After reviewing staff attendance sheets for September 16th, LPA discovered that two staff were present in Room #2 between the timeframe of 6:16 a.m. to 7:30 a.m. and five infants were present.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 06-CC-20191002142357
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 304270340
VISIT DATE: 10/25/2019
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Allegations: staff failed to change crib bedding for infant. Complainant reported that the bedding on the crib was dirty. Staff stated that laundry is done throughout the day. Staff reported that sheets is change every morning and if they get dirty throughout the day, the sheets are changed. Staff stated that the closing staff take sheets off every night and wash them for the next morning.

Allegation: infant’s needs are not being met by facility. Staff stated they tend to the children’s needs by ensuring they are feed on time, diapers are changed, ensuring they are there for each child, comforting the children when they are crying, and building a relationship with each child to know the child’s behavior pattern.

Allegation: lack of supervision. Complainant reported that she witnessed infants left in tummy time unsupervised. Staff reported that during tummy time they are position on the floor next to the infant to monitor and ensure they are safe. Staff also stated the duration for tummy time depends on the infant, maybe 2 to 5 minutes.

Parents interviewed did not provide any negative feedback.

Based on interviews conducted and reviewing of obtained documentation, there is insufficient evidence to corroborate the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview was conducted. The report was reviewed and discussed. Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.



SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 06-CC-20191002142357
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 304270340
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/04/2019
Section Cited
CCR
101427(c)(1)
1
2
3
4
5
6
7
101427(c)(1) Infant Care Food Service. The infant shall be fed in accordance with the individual plan. Bottle-fed infants shall be fed at least once every four hours. The requirement is not met as evidence by record review staff did not fed infant according to feeding plan. This poses a potential risk
1
2
3
4
5
6
7
Per Director, she will conduct a meeting with staff discussing proper data information regarding feeding infants. Per Director, she will submit a copy of the agenda of the meeting with each staff signature to LPA by POC due date of 11/4/2019.
8
9
10
11
12
13
14
to the health of children in care.
8
9
10
11
12
13
14
Type B
11/04/2019
Section Cited
CCR
101229.1(b)
1
2
3
4
5
6
7
101229.1 Sign In and Sign Out. The person who brings the child to, and removes the child from, the center shall sign the child in/out. The requirement is not emt as evidence by facility record review. Two parents did not sign in or out. This poses a potential risk to the safety of children in care.
1
2
3
4
5
6
7
Per Director, she will prepare a written statement that the administration will conduct weekly checks of sign in and out sheet and discuss with the parents the sign in and out procedure. Per Director, she will submit statement to LPA by POC due date of 11/4/2019.
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: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 06-CC-20191002142357
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 304270340
VISIT DATE: 10/25/2019
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Staff stated that they document on the tablet, the time of feeding and the amount that was fed to the child. Staff stated a report with this information is sent to the parents throughout the day. LPA obtained copies of the reports from the complainant which indicated on September 17th the child was fed 4 oz at 9:30 a.m., then at 12:30 p.m. mom came to breast feed the child; however, according to mom the child did not latch and she advised staff. According to the daily report sent to the mom, staff did not attempt to feed child for the duration of the day.

Allegation: facility did not follow sign out procedures. Complainant reported that she was able to take her child out of the facility without signing out. After reviewing the facility’s parents’ sign in/out sheet for the month of September, it was discovered that a parent did not sign in or out on September 16th and 17th and another parent did not sign in or out on September 16th.

Parents interviewed did not provide any negative feedback.

Based on interviews conducted and reviewing of obtained documentation, the preponderance of evidence standard has been met, therefore the Section 101427(c) (1) Infant Care Food Service and Section 101229.1 (b) Sign In and Sign Out allegations are found to be substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, are being cited on the attached LIC 9099D page.



Exit interview was conducted. The report was reviewed and discussed. Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019
LIC9099 (FAS) - (06/04)
Page: 4 of 5