364804213-1-4-2023-09-CC-AROS-CPRRJ7-20230309120328

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364804213
Report Date: 01/04/2023
Date Signed: 01/04/2023 09:14:32 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
12/13/2022 and conducted by Evaluator Samuel Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20221213142836

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	364804213
ADMINISTRATOR:	MELINDA GASKIN		FACILITY TYPE:	830
ADDRESS:	2140 S. EUCLID		TELEPHONE:	(909) 983-5007
CITY:	ONTARIO	STATE: CA	ZIP CODE:	91762
CAPACITY:	28	CENSUS: 8	DATE:	01/04/2023
		UNANNOUNCED	TIME BEGAN:	07:58 AM
MET WITH:	Assistant Director Jennifer De Luna		TIME COMPLETED:	09:35 AM

ALLEGATION(S):

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Supervision – Staff did not prevent child from sustaining injuries while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to conduct an inspection regarding a complaint received concerning the above allegations. LPA was given access to the facility by the Assistant Director Jennifer De Luna. LPA toured the facility and took a census. LPAs met with Jennifer to further discuss the complaint/allegation. Previously, on 12/19/2022, an inspection was conducted regarding the complaint, on that visit, interviews were conducted, and facility files were reviewed.

The following was alleged: a child suffered multiple scratches on their face while staff tended to other children in care

The Licensing Program Analyst (LPA) Samuel Lopez investigated the above allegations and gathered the following information: One staff was placing a child in the crib because they had fell asleep in their arms, another was feeding a child, and the third staff was consoling a child that was observed to be crying and appeared tired.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023

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 09-CC-20221213142836

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: 364804213
	VISIT DATE: 01/04/2023

NARRATIVE

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While the staff were preoccupied with other children, a child suffered numerous scratches on the left and right side of their face, specifically near the eyes, at the hands of another child in care. The scratches broke the skin, were deep in nature, which caused them to bleed. Staff provided first aid by using damped paper towels and dabbing them on the scratches to stop the bleeding. Further information was obtained that the child required medical attention for the scratches. From the medical examination, it was discovered that the child was found to have corneal abrasions, as well. At the time the incident, there were three staff members, and total of seven children in the room. However, none of the staff in the room observed the incident develop or when the incident occurred.

Based on interviews conducted, facility documentation, and additional pertinent information obtained, the preponderance of evidence standard has been met, therefore the above allegation regarding Supervision, is found to be Substantiated.

See LIC 9099-D for cited deficiency

LPA Lopez informed the Assistant Director Jennifer De Luna that this report dated January 4, 2023 document(s) (1) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

A Civil Penalty has been assessed during this inspection. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Assistant Director Jennifer De Luna.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 09-CC-20221213142836

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: 364804213
	VISIT DATE: 01/04/2023

NARRATIVE

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Also, LPA Lopez informed the Assistant Director Jennifer De Luna to provide a copy of this licensing report dated January 4, 2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 09-CC-20221213142836

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: 364804213
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/04/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/05/2023 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision: No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not being met as	1 2 3 4 5 6 7	Prior to conducting this inspection, the Director Megan Peveler submitted a copy of an agenda and sign in sheet regarding Sight and Sound training that was provided to all staff.
	8 9 10 11 12 13 14	evidenced by the information obtained that a child suffered numerous scratches that required medical attention, and out of three staff members present in the room, no one saw the incident develop and/or out how it occurred. This poses an immediate health, safety, or personal rights risk to children in care.	8 9 10 11 12 13 14	This citation carries a Civil Penalty of $500.
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	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2023

LIC9099 (FAS) - (06/04)

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