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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270484
Report Date: 09/07/2021
Date Signed: 09/07/2021 04:14:57 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
07/26/2021 and conducted by Evaluator Mahnaz Malek
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20210726133646
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270484
ADMINISTRATOR:VASSEGHI, MOJGANFACILITY TYPE:
850
ADDRESS:30062 SANTA MARGARITA PARKWAYTELEPHONE:
(949) 888-8880
CITY:RANCHO STA MARGARITASTATE: CAZIP CODE:
92688
CAPACITY:106CENSUS: 39DATE:
09/07/2021
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:DirectorTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Child sustained bruises on the arm while in daycare
INVESTIGATION FINDINGS:
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On 9/7/21 Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted follow up investigation regarding the above allegation. This complaint investigation was initiated on 8/4/21. LPA met with director, Mojgan Vasseghi . The Covid-19 Emergency Response questionnaire was reviewed and answered by the director before entering the facility. LPA toured the facility and took census. There were a total of 39 napping preschool children with 3 staff in 3 different classrooms. 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.
Our office has received an anonymous complaint regarding the above allegation of "Child sustained bruises on the arm while in daycare". According to complaint report, child sustaining bruises on the child’s arm. The report sates it is unknown how the child sustained bruises on the arm.
Continued on page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021
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 2
Control Number 06-CC-20210726133646
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: 304270484
VISIT DATE: 09/07/2021
NARRATIVE
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On 8/4/21 LPA interviewed the director and 3 other staff regarding the allegation. According to director, it was brought up to her attention by the child's representative that child # 1 had some brises on the child's arm one day in June 2021. Child's representative was not sure how the child got those bruises. Director acknowledged seeing the bruises on the child's arm when showed to her. She said she saw 3 small bruises underneath the right arm of child # 1. Director stated child had the tendency to throw oneself on the floor. Staff were careful that child did not throw oneself on the ground outside. Children here loved child # 1. The director stated It might be possible somebody prevented child of falling ended up bruises on the child's arm, but not intentionally. Child might have thrown oneself on the tricycle ride. The director stated she had observed that. The three other staff who were interviewed on 8/5/21 stated the child was loving and they did not witness any bruises on the child's arm.
Today LPA reviewed internal documentation of Child Supervision Record (CSR) for the last week on the child's attendance in June. LPA made sure to interview the main teachers of child # 1 (Staff # 1, Staff # 2, and Staff # 3). According to CSR, LPA observed there were other staff in and out in the classroom with child # 1 indoor and outdoor for a short time every day. LPA interviewed those staff as well (Total of eight staff). They said they did not remember witnessing child falling down or sustain bruises. Child # 1 did not have any ouch report issued. Some staff stated child needed 3 staff to change the child's diaper due to the child being defiant.
Based on the interviews conducted with the staff who were involved with the child the last week of the child's attendance (Total of 12 staff) and reviewing child's file, there is not enough proof or documents to support if the allegation happened at this facility.
This agency has investigated the complaint alleging "child sustained bruises on the arm while in daycare"; 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 occur, therefore the allegation is unsubstantiated.

Notice of Site Visit was posted. The notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The licensee was provided a copy of their appeal right (LIC 9058 1/16) and their signature on this form acknowledges receipt of these rights.
Exit interview was conducted. In the area which was investigated, no deficiency was cited today.

This report ends here.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mahnaz MalekTELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021
LIC9099 (FAS) - (06/04)
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