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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364804463
Report Date: 03/03/2022
Date Signed: 03/03/2022 12:25:20 PM



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
12/27/2021 and conducted by Evaluator Destinee Hogue
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20211227163754
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364804463
ADMINISTRATOR:TAHAN, JULIANAFACILITY TYPE:
830
ADDRESS:1609 CALVARY CIRCLETELEPHONE:
(909) 798-2987
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:20CENSUS: 12DATE:
03/03/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Director Juliana TahanTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Food Service-Facility does not follow child's feeding plan
INVESTIGATION FINDINGS:
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On 03/03/2022, Licensing Program Analyst (LPA) Destinee Hogue conducted an unannounced inspection to deliver the findings of the above complaint allegation. On 01/04/2022, a 10-day inspection was initated by LPA Hogue. During the 01/04/2022 inspection, LPA Hogue interviewed pertient parties, reviewed records, and conducted facility observations. During this inspection, LPA met with Director Juliana Tahan, toured the facility, verified facility associations and discussed the purpose of today's inspection with Director:

It is reported sometime during the month of August 2021, a child(ren) with a allergy to dairy products was fed ice cream. According to reported information, during enrollment the child's authorized representative completed enrollment packet and Needs and Service Plan documenting that the child(ren) has an allergy to dairy products and should not be fed any food products containing dairy.

>>>>>>>>>>>>>>>>>>>>>>>>>>>>CONTINUED ON LIC9099>>>>>>>>>>>>>>>>>>>>>>>>>>
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee HogueTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
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 4
Control Number 09-CC-20211227163754
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: 364804463
VISIT DATE: 03/03/2022
NARRATIVE
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LPA Hogue investigated the above allegation and gathered the following information. According to interviews with pertinent parties, staff members working in the Infant Classroom deny providing a child(ren) ice cream. Interviews disclosed that staff members are required to follow children's meal plans and children with food allergies are identified on an Allergy List which is posted in each classroom. Based on LPA Hogue's observation the involved child(ren) was not listed on the Allergy List; however, LPA Hogue observed a yellow sticky note posted on the Infant/Toddler Classroom refrigerator which stated the child(ren) could not have specific food products, including "yogurt and no milk."

LPA Hogue reviewed facility records and there is documentation supporting the involved child(ren) has a food allergy and should not be fed food products containing milk/diary. LPA Hogue reviewed children's records and KinderCare App. portfolio pictures and there was no proof that a child(ren) was fed ice cream while in care at the facility.

Based on interviews with pertinent parties, records reviewed, and facility observations, LPA Hogue was unable to corroborate whether or not the facility is following a child(ren)'s meal plan. Therefore, due to conflicting information found throughout this investigation, the department has determined that although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed UNSUBSTANTIATED.

Exit interview conducted and report was reviewed with Director Juliana Tahan. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

No deficiencies were cited during this inspection.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee HogueTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4