334804332-5-1-2024-09-CC-GSEA-D4ZKEF-20240506075014

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334804332
Report Date: 05/01/2024
Date Signed: 05/01/2024 10:33:03 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 ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/07/2024 and conducted by Evaluator Laura Mejorado

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20240207162933

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	334804332
ADMINISTRATOR:	RUBALCABA,BRANDIE		FACILITY TYPE:	850
ADDRESS:	5445 CANYON CREST		TELEPHONE:	(951) 683-1626
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92507
CAPACITY:	96	CENSUS: 73	DATE:	05/01/2024
		UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Brandie Rubalcaba		TIME COMPLETED:	10:40 AM

ALLEGATION(S):

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Personal Rights - Staff handled daycare child in a rough manner resulting in an injury

INVESTIGATION FINDINGS:

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On this date and time, Licensing Program Analyst (LPA) Laura Mejorado arrived at the facility to deliver the findings of this complaint investigation which was initiated on 2/9/24. LPA met with Director, Brandie Rubalcaba. LPA toured the facility, took census, and discussed the following with the Director.

During the investigation, LPA made observations, reviewed pertinent documentation, and conducted interviews with pertinent parties. It was alleged staff handled daycare child in a rough manner resulting in an injury. LPA investigated the allegation and gathered the following information:

Continue on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura Mejorado	TELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024

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 09-CC-20240207162933

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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: KINDERCARE LEARNING CENTER	FACILITY NUMBER: 334804332
	VISIT DATE: 05/01/2024

NARRATIVE

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It was reported staff handled a child in a rough manner resulting in a child’s elbow being dislocated. Staff interviews disclosed two incidents where the child sustained injuries to their elbow. One incident involved the child tripping and landing with their arms out causing an injury to their elbow. During the second incident, staff were holding the child’s hand when the child threw themselves back, causing another injury to their arm. Staff denied handling the child in a rough manner; however, there was conflicting information from what was alleged.

Based on information obtained during this investigation through interviews conducted, the review of pertinent documentation, and after receiving conflicting information, the allegation is UNSUBSTANTIATED. A finding the allegation is unsubstantiated means, although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove the allegation occurred.

An exit interview was conducted with the Director, Appeal Rights were discussed and issued, a copy of this report was provided, and a Notice of Site visit was issued.

The Notice of Site Visit (LIC 9213) shall be posted where the parent/guardian of children enter and exit the facility. The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

A copy of this report must be made available for the next three years.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura Mejorado	TELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024

LIC9099 (FAS) - (06/04)

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