Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004173
Report Date: 07/09/2019
Date Signed: 07/31/2019 02:20:51 PM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/01/2019 and conducted by Evaluator Glenn A Schnell
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20190701093154
FACILITY NAME:KINDERCARE LEARNING CENTER LLC (INF)FACILITY NUMBER:
414004173
ADMINISTRATOR:DINA SCHMALZ (MIMI)FACILITY TYPE:
830
ADDRESS:1350 WAYNE WAYTELEPHONE:
(650) 577-0257
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY:32CENSUS: 19DATE:
07/09/2019
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Dina SchmalzTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Infant was restrained
INVESTIGATION FINDINGS:
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THIS IS AN AMENDED REPORT OF A REPORT DATED 7/9/19. Licensing Program Analyst (LPA) Glenn Schnell conducted a complaint investigation inspection today and reviewed the above allegation with the Director. During today's inspection, LPA Schnell toured the infant and toddler rooms, conducted an evaluation of the physical plant and care and supervision, and interviewed some staff. The above allegation stems from an incident on June 25, 2019 of a one year old infant being placed on their cot at nap time with their blanket tucked under each leg of the cot, creating an intent to keep the infant from crawling off. Director Schmalz was notified of the incident June 25, 2019 and reported the incident to Licensing on July 2, 2019, within the required time frame. LPA Schnell confirmed through statements made during interviews on July 9, 2019 that on June 25, 2019, at approximately 1:15 PM, S2 tucked the blanket covering C1 under the legs of their cot with the intent to keep the child from crawling off their cot during nap time. Although it was determined that there was no malicious intent regarding the placement of the blanket in the manner described, this still considered a violation of the child's personal rights. Title 22 Type A deficiency is being cited on the following page. Based on LPAs review of records and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A Notice of Site Visit was posted and parent notification requirements were reviewed. Notice to remain posted 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Glenn A SchnellTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2019
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/01/2019 and conducted by Evaluator Glenn A Schnell
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20190701093154

FACILITY NAME:KINDERCARE LEARNING CENTER LLC (INF)FACILITY NUMBER:
414004173
ADMINISTRATOR:DINA SCHMALZ (MIMI)FACILITY TYPE:
830
ADDRESS:1350 WAYNE WAYTELEPHONE:
(650) 577-0257
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY:32CENSUS: 19DATE:
07/09/2019
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Dina SchmalzTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Facility staff failed to ensure infant was adequately hydrated
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Schnell conducted a complaint investigation inspection today and reviewed the above allegation with the Director. This allegation stems from at least two observations on separate days of an infants reaction to being fed water. The child was observed when given water that it was drank so fast that the child was gasping for air afterwards. On another occasion, the child was observed "sucking their water down" as if they were extremely thirsty. As part of this investigation, LPA Schnell conducted an evaluation of the physical plant of the infant and toddler rooms and observed that staff use an computer application to document the liquid and food intake of the infants, as well as other activity. LPA Schnell also observed the infant in care today and interviewed staff regarding water accessibility to the infants who drink water and can hold their own bottle and drink themselves. Cups with lids for water are provided by the parents and also staff ensure children are offered water daily. However, it is unclear from documentation how often and the amount of water infants are consuming and/or being fed. The infant in care today was observed to be an active and normally developing child. 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. A copy of this report and appeal rights were reviewed and provided. Notice of Site visit was observed to be posted and shall remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Glenn A SchnellTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2019
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 05-CC-20190701093154
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: KINDERCARE LEARNING CENTER LLC (INF)
FACILITY NUMBER: 414004173
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/18/2019
Section Cited
CCR
101223(a)(3)
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THIS IS AN AMENDED REPORT OF A REPORT DATED 7/9/19. 101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights:(3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or
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The director spoke with S2 regarding their actions and will be conducting a training with staff on children's personal rights and the safety of children when assisting them to
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toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by: S2 placed the edges of an infants blanket under all four legs of their cot with the intent to keep the infant from crawling off. This action is a violation of the infants personal rights and presents immedaite health and safety risks to them.
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sleep at nap time. Proof of the completion of training with details of topics covered as well as verification of staff attendance will be sent to Licensing by the plan of correction due date.

This report is to be posted for thirty days with the notice of site 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.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Glenn A SchnellTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2019
LIC9099 (FAS) - (06/04)
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