Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434400345
Report Date: 06/29/2017
Date Signed: 06/29/2017 05:46:10 PM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/20/2017 and conducted by Evaluator Milagros Aguas
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20170620163322
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
434400345
ADMINISTRATOR:IDA GEMIGNANI-STEARNSFACILITY TYPE:
850
ADDRESS:400 SOUTH ABELTELEPHONE:
(408) 263-7212
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:120CENSUS: 59DATE:
06/29/2017
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Kristine DimasacaTIME COMPLETED:
05:50 PM
ALLEGATION(S):
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Staff failed to provide a comfortable environment for the children in care
Facility is in dis-repair
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Meela Aguas conducted the 10 day facility inspection, met with Program Coordinator, Kristine Dimasaca to discuss the allegations. LPA toured the facility and interviewed staff.
Based on LPA's interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12), are being cited on the attached LIC. 9099D. Licensee's Appeal Rights was p`rovided to Kristine.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Timetra FaulconTELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Milagros AguasTELEPHONE: (408) 334-8550
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2017
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 07-CC-20170620163322

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KINDERCARE LEARNING CENTER
FACILITY NUMBER: 434400345
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/29/2017
Section Cited
101239(a)(1)
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Fixtures, Furniture, Equipment and Supplies
The licensee shall maintain the temperature in rooms that children occupy between a minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30 degrees C).
LPA learned center's inside temperature had reached over 85 degrees F for 3 to 4 days during the week of 06/19 - 23.
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The center had purchased a new air conditioning system to replace the one on the left side of the preschool classrooms.
Type B
06/29/2017
Section Cited
101239(n)
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Fixtures, Furniture, Equipment and Supplies. Furniture and equipment shall be in good condition.

LPA learned old air conditioning system of of the preschool classrooms on the left side was not working and had to be replaced.
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The center had purchased a new air conditioning system to replace the old one which cannot be repaired. The new AC system is currently being checked and serviced for its full operation.
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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: Timetra FaulconTELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Milagros AguasTELEPHONE: (408) 334-8550
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2017
LIC9099 (FAS) - (06/04)
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