334804323-10-11-2023-10-CC-PBER-CWSTHB-20231020144427

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334804323
Report Date: 10/11/2023
Date Signed: 10/11/2023 09:32:50 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/16/2023 and conducted by Evaluator Jessica M Rubio

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20230816153802

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	334804323
ADMINISTRATOR:	MARGARITA D. GUILLERMO		FACILITY TYPE:	850
ADDRESS:	23301 OLIVEWOOD PLAZA DRIVE		TELEPHONE:	(951) 924-1956
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92553
CAPACITY:	95	CENSUS:	DATE:	10/11/2023
		UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Jesika Guillermo		TIME COMPLETED:	09:01 AM

ALLEGATION(S):

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Due to lack of supervision daycare child sustained unexplained injuries while in care
Staff did not provide child’s authorized representative with incident reports
Staff did not provide adequate food service

INVESTIGATION FINDINGS:

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On October 11, 2023 at 8:55 am, Licensing Program Analysts (LPA), Jessica Rubio and Tricia Danielson arrived announced to Kindercare Learning Center (CCC) and met with Director Jesika Guillermo to deliver the investigative finding regarding the allegations listed above. On August 24, 2023 at 2:40 pm, LPA opened the investigation at the CCC and conducted a census. During the investigation, LPA also conducted interviews with Assistant Director and one staff (S1).

On August 16, 2023, Community Care Licensing (CCL) received a complaint alleging due to lack of supervision daycare child sustained unexplained injuries while in care and staff did not provide child’s authorized representative with incident reports; specifically, that C1 received an unexplained cut to the top of their ear at the CCC and C1’s parent did not receive an incident report regarding the injury. The complaint additionally alleged staff did not provide adequate food service; specifically, that the food provided to children is observed to be dry, hard and has in an instance contained mold.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

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 10-CC-20230816153802

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 334804323
	VISIT DATE: 10/11/2023

NARRATIVE

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Regarding the allegation due to lack of supervision C1 sustained an unexplained cut to their ear and staff did not provide child’s authorized representative with an incident report regarding the injury, interviews revealed that at pick up on 8/11/2023, C1 was observed to have a fresh cut to the top of C1’s ear. Interviews revealed that on 8/11/2023, C1 was in the care of S1 with a total of 12 children when the injury was likely sustained. Interview further revealed that C1 had no incidents nor any altercations with any peers that day. It was further revealed that C1 did not cry or scream at any point of the day that would have indicated C1 got an injury. Interviews further revealed the cut was only observed when C1’s authorized representative picked C1 up and pointed it out, however, had not been observed by staff prior. Staff had been unaware of the injury and there was no incident witnessed, therefore, an incident report could not have been written. Record review revealed the observation of the cut at pick up was documented later that day and kept in CCC files.

Regarding the allegation that staff did not provide adequate food service, interviews revealed there has been no issue obtaining food or with bad food being served to the children. LPA also observed snack ready to be served, which consisted of fresh watermelon and crackers. In addition, LPA conducted a tour of the kitchen to observe the food and LPA did not observe any food to be expired or moldy.

Based on confidential interviews conducted during the investigation, C1 did sustain an unexplained cut to their ear, however, it could not be determined how or when the injury occurred or if the CCC was in violation of Title 22 Regulations. Therefore, the allegations due to lack of supervision C1 sustained an unexplained injury while in care and staff did not did not provide child’s authorized representative with incident reports are unsubstantiated. Additionally, based on conflicting statements, the allegation that staff did not provide adequate food service may have occurred, however is not supported or proven by evidence. Therefore, that allegation is unsubstantiated. An exit interview was conducted and a copy of this report and appeal rights were discussed and provided to Director Jesika Guillermo. A notice of site visit was also provided and must remain posted for 30 days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

LIC9099 (FAS) - (06/04)

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