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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334804328
Report Date: 12/08/2021
Date Signed: 12/14/2021 10:56:48 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
10/22/2021 and conducted by Evaluator Nasha King
COMPLAINT CONTROL NUMBER: 10-CC-20211022090839
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334804328
ADMINISTRATOR:RAMOS, SONGFACILITY TYPE:
830
ADDRESS:42111 FLORIDA AVENUETELEPHONE:
(951) 927-8194
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:20CENSUS: 8DATE:
12/08/2021
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Song Ramos, DirectorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff did not obtain authorization from an infant's representative to be transitioned to higher age group
Staff did not notify infant's representative of infant's illness
Staff are not conducting wellness check
Staff did not isolate a sick infant
Licensee retaliated against authorized representative for filing complaints
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Nasha King, made a subsequent unannounced complaint investigation visit to deliver the findings for the above referenced allegations. LPA met with Song Ramos, Director, who was informed of the decision rendered. During this visit, LPA toured the facility, took census, and observed that the center was operating within ratio.

LPA King conducted interviews with the Director and five (5) staff members, all of whom are pertinent to this investigation. Along with the interviews, the investigation revealed that:

In regard to the allegation that Staff did not obtain authorization from an infant's representative to be transitioned to higher age group, LPA King reviewed email correspondences between the Director and parent of C1 where C1s parent was notified on September 17, 2021, that C1 was going to be transitioning to a higher age group. The parent of C1 replied to the email notification the same day and did not have any
***Please see LIC 9099-C for a continuance of this report***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Nasha King
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2021
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 10-CC-20211022090839
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: 334804328
VISIT DATE: 12/08/2021
NARRATIVE
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objections in regard to the child’s transition. LPA King noted that C1 was switched to the other class on 09/20/21, and during this time, the parents of C1 did not have any concerns or objections over the transition. Therefore, based on the information obtained, the allegation is UNSUBSTANTIATED.

In regard to the allegation that Staff did not notify infant's representative of infant's illness, interviews conducted revealed that all parents are notified when their child(ren) become ill while at the facility. According to the Director and the Assistant Director, the center has a policy to notify parents with symptoms of illness and are provided a “Symptoms of Illness Notification Form”, specifying the reason the child was sent home. Both the Director and the Assistant Director explained that the form also requires a signature to acknowledge receipt of the notification. Per interviews conducted, and information gathered, LPA King verified that there was a form on file for C1, however, it was not signed because the parent refused to sign the document. Based on the information gathered, the allegation is UNSUBSTANTIATED.

In regard to the allegation that Staff are not conducting wellness check, interviews conducted revealed that facility staff are conducting daily wellness checks, including but not limited to taking daily temperatures of children, staff, and individuals entering the facility. The wellness check also includes monitoring a child’s cough and/or runny nose and any other symptoms that the child may develop throughout the day. Records review also corroborated the interviews, as LPA King reviewed a Wellness Check Log from various dates where facility staff were documenting Date of Illness Onset, including each child’s symptoms. Additionally, on October 28, 2021, and during today’s visit, a wellness check was conducted on LPA King by the Director prior to entering the facility. Per information gathered and interviews conducted, the allegation is UNSUBSTANTIATED.

In regard to the allegation that Staff did not isolate a sick infant, the interviews conducted revealed that although the facility does not have a dedicated isolation room for children when they become ill at school, facility staff are utilizing the Director’s or Assistant Director’s office to isolate the children if/when they become sick while at the facility. Additionally, if the child is unable to go to either of those offices, the child remains in the classroom in an isolated area away from the other children while maintaining a safe distance. If the other children try to go near the isolated child, they are redirected to another area to play or do their activities inside the classroom, therefore the allegation is UNSUBSTANTIATED.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Nasha King
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20211022090839
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: 334804328
VISIT DATE: 12/08/2021
NARRATIVE
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In regard to the allegation that the Licensee retaliated against authorized representative for filing complaints, the interviews conducted revealed that facility staff does not partake in retaliation against families or anyone who expresses their concerns or for anyone that files a complaint against the facility. According to the Director, if there are concerns with the parents, the facility would initiate or arrange for a meeting to address their concerns and find a common ground. Staff explained that the facility will try their best to accommodate the parent/family, however, due to policies and procedures, the parents may not be satisfied with the results, and assume they are retaliating against them. Based on interviews conducted, the allegation is UNSUBSTANTIATED.

Based on the statements and interviews conducted with staff and a review of staff/children/facility records, there is not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED.

An exit interview was conducted, and this report was reviewed with the Director, Song Ramos, and a copy was provided.

Appeal rights were discussed and provided during the exit interview.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Nasha King
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3