Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364812754
Report Date: 03/07/2017
Date Signed: 03/07/2017 10:00:51 AM


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
11/07/2016 and conducted by Evaluator Alda Aguirre
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20161107080128
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
364812754
ADMINISTRATOR:JACLEEN RUCKERFACILITY TYPE:
850
ADDRESS:11249 BASELINE AVENUETELEPHONE:
(909) 581-0944
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:90CENSUS: 56DATE:
03/07/2017
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Jacleen RuckerTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
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9
Personal Rights - Staff hit child resulting in bruising
INVESTIGATION FINDINGS:
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13
Licensing Program Analysts (LPAs) Yolanda Jackson and Alda Aguirre visited the facility to deliver the findings of the investigation into the above-allegation. The investigation was conducted with the assistance of Community Care Licensing Investigations Branch Investigator W. Vasquez and the San Bernardino County Sherrif's Department.

During the investigation witnesses were interviewed and records were reviewed. Witness statements revealed that a child stated that the child was hit by Staff 1. Witness statements also revealed that bruises were observed on the child however witnesses stated that it is unclear if the bruises were as a result of child's play. There were no witnesses that have seen Staff 1 hit any children. Staff 1 has also denied hitting the child. Due to the age of the child, it is unclear when the incident(s) are alleged to have happened and the details of the allegation as to how and where the child is alleged to have been hit are also unclear. After a review of all information obtained, there is conflicting information and based on the preponderance of evidence the above allegation has been deemed Unsubstantiated.
Inconclusive
Estimated Days of Completion:
SUPERVISOR'S NAME: Anita HiseTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Alda AguirreTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2017
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 2



Control Number 09-CC-20161107080128
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: 364812754
VISIT DATE: 03/07/2017
NARRATIVE
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As of January 1, 2017, the term “inconclusive” is no longer used to refer to the outcome of certain complaint investigations. Such complaint allegations are now deemed “unsubstantiated.” This document has not yet been updated to reflect this change and for purposes of this complaint investigation the Department’s finding is that this allegation was unsubstantiated.

An exit interview was conducted, Notice of Site Visit posted, appeal rights discussed and given to the director, along with a copy of this report.

THIS REPORT MUST BE AVAILABLE TO THE PUBLIC FOR THREE YEARS.
SUPERVISOR'S NAME: Anita HiseTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Alda AguirreTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2017
LIC9099 (FAS) - (06/04)
Page: 2 of 2