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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364809072
Report Date: 05/20/2022
Date Signed: 05/20/2022 11:00:32 AM

Substantiated


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
05/04/2022 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220504143807
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364809072
ADMINISTRATOR:SALVADOR-RIVERA, JESSICAFACILITY TYPE:
850
ADDRESS:16149 FOOTHILL BOULEVARDTELEPHONE:
(909) 823-2323
CITY:FONTANASTATE: CAZIP CODE:
92335
CAPACITY:72CENSUS: 33DATE:
05/20/2022
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Jessica Salvador-Rivera/directorTIME COMPLETED:
11:36 AM
ALLEGATION(S):
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Staff handled day care child in a rough manner.
INVESTIGATION FINDINGS:
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On 5/20/22 at 9:10 am, Licensing Program Analyst (LPA) Patricia Berry conducted a susequesnt complaint investigation to deliver final findings. LPA was granted into the facility and met with director. LPA toured facility and took a census.

It was alleged a staff handled day care child in a rough manner. During the investigation, LPA interviewed all pertinent parties, including staff.

Director stated she was notified staff handled a child in a rough manner. Director stated she spoke with the staff about the incident and staff was removed from the classroom. During interview with staff, teacher admitted to not properly handling the child.

(Cont on 9099C)
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
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 7
Control Number 09-CC-20220504143807
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: 364809072
VISIT DATE: 05/20/2022
NARRATIVE
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Staff stated she was assisting a child with putting their pants on. Staff stated she briefly held the child’s forearm due to the child preventing staff from putting the pants on. Staff admits she did not properly handle the child while assisting them with their pants. Director stated staff was immediately trained on the proper way of assisting children with their clothing. Staff stated, and it was not reported, the child did not sustain any injuries nor the did the child cry due to the staff holding their forearm.


Based on interviews, and staff admitting culpability, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUNSTANTIATED.

See 9099D for deficiency.


Exit interview conducted with director, report appeal rights and Notice of Site Visit provided to director. LPA observed director post the Notice of Site Visit. Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 09-CC-20220504143807
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: 364809072
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/24/2022
Section Cited
CCR
101223(a)(1)
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Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her relationships.. staff and other persons
This requirement was not met as evidenced by



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Director removed the teacher from the classroom. The director stated she conducted a training with the teacher. The director conducted an all staff training on safety and personal rights 5/16/22.and showed proof of training to LPA.
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Based on the teacher admitting culpability that a child was handled in a rough manner.

This is a potential risk to the health and safety of children in care.

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The POC will be cleared at todays visit.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 7
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
05/04/2022 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220504143807

FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364809072
ADMINISTRATOR:SALVADOR-RIVERA, JESSICAFACILITY TYPE:
850
ADDRESS:16149 FOOTHILL BOULEVARDTELEPHONE:
(909) 823-2323
CITY:FONTANASTATE: CAZIP CODE:
92335
CAPACITY:72CENSUS: 33DATE:
05/20/2022
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Jessica Salvador-Rivera/directorTIME COMPLETED:
11:36 AM
ALLEGATION(S):
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Facility staff member was intoxicated while present at the facility
INVESTIGATION FINDINGS:
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On 5/20/22 at 9:10 am, Licensing Program Analyst (LPA) Patricia Berry conducted a susequesnt complaint investigation to deliver final findings. LPA was granted into the facility and met with director. LPA toured facility and took a census.

It was alleged a staff member was intoxicated, while present at the facility. During the investigation, LPA interviewed all pertinent parties, including staff.

Director stated she was aware of the allegation and informed the facility’s human resource department. Director stated she has not observed any staff member intoxicated. LPA interviewed 5 staff, there was conflicting information on whether staff member was intoxicated while at the facility or any staff member exhibiting concerning behavior.

(Cont on 9099C)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 09-CC-20220504143807
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: 364809072
VISIT DATE: 05/20/2022
NARRATIVE
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Based on interviews conducted, there is conflicting information from what was alleged, and interviews conducted. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.


Exit interview conducted with director, report appeal rights and Notice of Site Visit provided to director. LPA observed director post the Notice of Site Visit. Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 7