334804329-9-23-2025-10-CC-CMAZ-DMBPZ3-20251010114448

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334804329
Report Date: 09/23/2025
Date Signed: 09/23/2025 02:25:21 PM

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
07/22/2025 and conducted by Evaluator Sumayya Habeebulla

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20250722130121

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	334804329
ADMINISTRATOR:	THERESA SALLEY		FACILITY TYPE:	850
ADDRESS:	11961 PERRIS BLVD		TELEPHONE:	(951) 243-6558
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92557
CAPACITY:	72	CENSUS: 49	DATE:	09/23/2025
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Theresa Salley		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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- Lack of staff supervision resulting in daycare child being injured by another daycare child.

INVESTIGATION FINDINGS:

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On date and time listed, Licensing Program Analyst (LPA) Sumayya Habeebulla arrived unannounced at the facility and met with Facility Director Ms. Theresa Salley to deliver the investigative findings for the above stated allegation.

During the investigation, interviews were conducted with the Facility Assistant Director and other pertinent parties. LPA also obtained copies of pertinent records that included: sign in/out record, and ouch reports.
Interviews revealed that the parent of Child #1 (C1) arrived at the facility between 4:30 PM and 4:50 PM to pick up the child. While collecting C1’s belongings, the parent noticed that the soiled clothes were not in the child's cubby, so a staff member proceeded to retrieve the items from the classroom bin. During this time, C1 was playing in the kitchen area of the classroom. Another child (Child #2) ran into C1 with force, causing C1 to fall. C1 became visibly upset, and red marks were later observed on the left side of the body.

See LIC 9099C for continuation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025

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-20250722130121

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: 334804329
	VISIT DATE: 09/23/2025

NARRATIVE

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The parent, a staff member, and the assistant director were present in the classroom at the time of the incident. Staff promptly intervened to redirect Child #2, and the parent attended to C1.

According to sign-in/out records, the Licensing Program Analyst (LPA) noted that the child was signed out by the parent at 4:52 PM. However, the incident was documented in the Ouch Report at 4:59 PM and in the Body Check Log at 5:00 PM. Staff records indicate that the child physically left the facility at 5:03 PM. Based on this information, the incident occurred after the child was signed out, but while still present on the facility premises. Based on interviews and available documentation, the parent of Child #1 (C1) arrived at the facility between 4:30 PM and 4:50 PM to pick up the child. While collecting C1’s belongings, the parent noticed that the soiled clothes were not in the child's cubby. A staff member proceeded to retrieve the items from the classroom bin.

From the information received through interviews with Facility staff and other pertaining parties, the above allegation cannot be verified. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Facility Director Theresa Salley, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025

LIC9099 (FAS) - (06/04)

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