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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334808838
Report Date: 03/26/2021
Date Signed: 03/26/2021 04:46:10 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/09/2021 and conducted by Evaluator Giselle Carbullido
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20210309134957
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334808838
ADMINISTRATOR:MICHELLE LONGORIAFACILITY TYPE:
830
ADDRESS:1655 HIDDEN VALLEY PARKWAYTELEPHONE:
(951) 898-5677
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:24CENSUS: 6DATE:
03/26/2021
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Laura Michelle LongoriaTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Facility is operating out of ratio
Facility staff commingle different age group children
INVESTIGATION FINDINGS:
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On 03/26/21 at 3pm Licensing Program Analyst (LPA) Giselle Carbullido conducted an unannounced tele-investigation regarding a complaint received concerning the above allegations. Due to the executive order issued by Governor Newsom on March 16, 2020 regarding COVID-19 pandemic, this investigation was conducted via tele-inspection (Facetime). LPA was given access to the facility by the Director, Michelle Longoria. LPA discussed purpose of tele visit, took census and toured the facility. LPA met with Ms. Longoria to further discuss the complaint allegations and deliver findings. A tele- inspection was previously conducted on 03/11/21 regarding the complaint, on that visit, interviews were conducted, and records were electronically obtained.
The following was alleged: The facility is operating out of ratio and facility staff are comingling different age group children.
(LPA) investigated the above allegation and gathered the following information:
Regarding program ratio: Staff interviews indicated being out of ratio when short staffed and being aware of ratios for all programs.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
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 5
Control Number 09-CC-20210309134957
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: 334808838
VISIT DATE: 03/26/2021
NARRATIVE
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Samplings of Child Supervision Records (CSRs) from January 2021- March 2021 provided by the facility revealed the facility did operate out of ratio for the following dates, duration and ratios: 01/25/21 – 47 minutes (1 adult, 10 infants); 01/27/21- 24 minutes (1 adult, 6 infants); 01/28/21-20 minutes (1 adult, 5 infants); 02/05/21- 1 hour and 3 mins (1 adult, 10 infants); 03/01/21- First instance: 24 minutes and second instance: 1 hour (1 adult, 5 infants.)

Regarding commingling: Staff and children interviews reported infants and preschool age children observed in the School Age Program. Staff and Director interviews stated infants and preschool children are taken out of the class and put on “hold” (standing with Director/Staff next to or in the school age program and/or going to Facility office located in the front office) to maintain classroom ratios. Director acknowledged entering the School Age Program with children from other Infant and Preschool programs when assisting School Age Program in order to maintain ratios.

This agency has investigated the complaint regarding facility operating out of ratio and commingling different age groups of children. Based on LPA’s facility record review(s) and staff and children interviews, the preponderance of evidence standard has been met, therefore the above allegation(s) are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 12 the following deficiencies are found:

See LIC 9099D for deficiencies cited.

Regarding ratio, this is a repeat violation as facility was cited on prior visit on 04/30/2020. An immediate civil penalty of 250.00 has been assessed.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 09-CC-20210309134957
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: 334808838
VISIT DATE: 03/26/2021
NARRATIVE
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Upon receipt, licensee shall post and provide copies of this licensing reports to parents/guardians of children in care at the facility and to parents/guardians of newly enrolled children at the facility for the next 12 months. The notice of site visit and Deficiencies from today’s visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in immediate $100 civil penalty.

An exit interview was conducted, and appeal rights discussed. LPA Carbullido provided Director with a copy of this report, appeal rights and Notice of Site visit via email with an electronic “read receipt”. The electronic read receipt of the emailed report acknowledges receipt of this report. A copy of this report was emailed to Director during this Tele-inspection on 03/26/2021.

A copy of this report must be made available to the public upon request for three years.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 09-CC-20210309134957
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: 334808838
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/26/2021
Section Cited
CCR
101416.5(b)
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Staff-Infant Ratio-101416.5(b) There shall be a ratio of one teacher for every four infants in attendance.



This requirement was not met as evidenced by:
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Facility Director will submit a staff training agenda on completing Child Supervision Records and a written plan on how ratios will be met in the future to LPA Carbullido by POC due date: 03/27/21.Civil penalty assessed for 250.00.
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Based upon LPA review of staff interviews, and child supervision records provided by the facility, the facility operated out of ratio on the following dates: 01/25/21; 01/27/21, 01/28/21; 02/05/21 and 03/01/21. This poses an immediate health and safety risk to children in care. This is a repeat violation.
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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: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 09-CC-20210309134957
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: 334808838
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/26/2021
Section Cited
CCR
101438.3(b)
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Indoor Activity Space for Infants-101438.3(b) (b) Indoor activity space for infants shall be physically separate from space used by children in the child care center and school-age child care center components. This requirement was not met as evidenced by:
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Facility Director will submit a written plan outlining how children put on ‘hold’ will be supervised including a sketch showing the location/room to be used including a sign in/out sheet for infants and staff.
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Based upon LPA review of staff and children interviews and Director’s own admission the facility did not keep infants physically separate from the school age center component. This poses a potential health and safety risk to children in care.
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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: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5