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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270386
Report Date: 06/04/2021
Date Signed: 06/04/2021 10:52:11 AM



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
03/26/2021 and conducted by Evaluator Tina Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20210326082914
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270386
ADMINISTRATOR:MOSES, DIANNEFACILITY TYPE:
850
ADDRESS:9945 SLATER AVENUETELEPHONE:
(714) 968-4451
CITY:FOUNTAIN VALLEYSTATE: CAZIP CODE:
92708
CAPACITY:136CENSUS: DATE:
06/04/2021
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director Dianne MosesTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Day care child sustained multiple injuries.
Day care child was not protected against hazards within the center.
Staff did not meet day care child's diapering needs.
INVESTIGATION FINDINGS:
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On 06/04/2021, Licensing Program Analyst (LPA) Nguyen and Licensing Program Manager (LPM) Ho conducted an unannounced complaint inspection for the purpose of delivering complaint findings. This is a continuation on the investigation initiated on 3/30/2021. Upon arrival, met with director, Dianne Moses who guided LPA and LPM on a facility tour. LPA and LPM observed 56 preschool children with 9 staff members including the director and assitant director.
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.
On 03/26/2021, our office received a complaint and complainant reported:
1. A child received a bruise inside lip and gum. Staff disclosed that the child received the bruise because the child was fighting over a toy with another child.
2. A staff member dropped a cubby on a child’s face resulting the child received a red line on the face along with swollen left eye.
(Continue on page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Tina NguyenTELEPHONE: (714) 292-2922
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
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 3
Control Number 06-CC-20210326082914
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: 304270386
VISIT DATE: 06/04/2021
NARRATIVE
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3. A child’s diaper was stink and soiled when being picked up on 3/24/21.
During the investigation, LPA Nguyen attempted to interview 6 staff members and was able to interview 4 staff members. During the interview, LPA learned that on 3/15/21, Staff #3 (S3) witnessed Child#1 (C1) and another child were both reaching to get the same toy and they bumped into each other. S3 checked the child and there was no bruise or mark left on the child’s face. LPA was able to review the incident report filed in the C1’s file regarding this incident.
LPA also learned that on 3/24/21, Staff #2 (S2) was pulling out a plastic container from the cubby to put a blanker inside the plastic container and S2 accidentally dropped the plastic container on the ground. The plastic container bounced and hit C1’s face (left temple) who was napping approximately 3 feet away. The injure area was red and swollen so S2 applied ice on C1’s injured area. Facility representative contacted the parent immediately and accident report was provided to the parent on the same day. All interviewed staff stated after this incident, the staff keep the children napping away from the cubby to ensure the children are being protected.
All Interviewed staffs confirmed they supervise the children at all time. If the children get hurt at the facility, they will check the injure areas, rinse with water, apply ice pack and band aid if needed. Staff will also complete the incident report and provide it to the parents. If the injury was serious, management would call the parents immediately. Interviewed staff members indicated that if the children fight over toys, they will talk with the children and redirect the children to another area to engage in a different activity.
In regard to the allegation: Staff did not meet day care child's diapering needs; LPA Nguyen reviewed the diaper changing log on the incident day which was 3/24/21. The diaper changing log indicated C1’s diaper was changed at 3pm and the mother picked C1 up at 4:15pm. All Interviewed staff disclosed they change the children’s diapers every 2 hours or sooner if the child soiled their diapers. All interviewed staff also disclosed after changing diaper, staff members record the times and either the child wets or soils diaper or does not wet or soil the diaper on the diaper changing log. Interviewed staff members denied leaving any child on a soiled diaper or witnessing any staff member leaving any child on a soiled diaper for a long period of time. S2 is C1’s teacher and S2 was no longer working at the facility; thus, LPA was unable to interview S2. LPA attempted to contact S2 three different times via telephone but no respond.
LPA Nguyen was unable to interview C1 due to being non-verbal. LPA Nguyen also attempted to interview 4 children in C1’s classroom and all 4 children did not qualify for an interview.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Tina NguyenTELEPHONE: (714) 292-2922
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20210326082914
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: 304270386
VISIT DATE: 06/04/2021
NARRATIVE
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LPA Nguyen attempted to interview seven parents and was able to interview two parents. Interviewed parents stated they did not have any concern or issue with the facility.

Based on the information gathered from LPA's interview and reviewing records, 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 Day care child sustained multiple injuries; Day care child was not protected against hazards within the center; Staff did not meet day care child's diapering needs did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) will be provided through email and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Tina NguyenTELEPHONE: (714) 292-2922
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3