Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334804329
Report Date: 05/16/2018
Date Signed 05/17/2018 01:23:59 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
05/09/2018 and conducted by Evaluator Kim Leung
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20180509120817
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
334804329
ADMINISTRATOR:THERESA SALLEYFACILITY TYPE:
850
ADDRESS:11961 PERRIS BLVDTELEPHONE:
(951) 243-6558
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92557
CAPACITY:72CENSUS: 13DATE:
05/16/2018
UNANNOUNCEDTIME BEGAN:
05:43 PM
MET WITH:Theresa SalleyTIME COMPLETED:
07:20 PM
ALLEGATION(S):
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Licensee failed to keep facility clean.

Facility has a foul odor.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kim Leung visited the facility to investigate the above allegations. Upon arrival, LPA met with facility director Theresa Salley and stated the purpose of the visit. It was alleged that the facility failed to maintain the facility clean on a regular basis that there were food, dirt, trash, toys and play-doh all over the floor. It was further alleged that facility has a foul odor of used/soiled diapers and feces. During visit, LPA toured the facility indoor and outdoor inspecting children's restrooms, changing station, activity rooms, kitchen and playground. The facility appeared clean and sanitary at time of the inspection. The floors appeared clean. There was no noticeable foul odor of any kind throughout the facility at time of this inspection. LPA observed trash cans with covers in each activity room. In the 2's room where there is a changing table for diapering, LPA observed plastic bags above the changing station for disposal of used and soiled diapers. LPA conducted interviews with staff during visit. LPA obtained information that the floor was usually mopped during nap time and at the end of the day again at closing time when needed. (TO BE CONTINUED ON NEXT PAGE)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2018
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-20180509120817
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: 334804329
VISIT DATE: 05/16/2018
NARRATIVE
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Based upon the observations and information gathered during inspection, there is not a preponderance of evidence to corroborate the allegations.

Based upon the information gathered, there is not a preponderance of evidence to support or dismiss the allegations. The above allegations are ruled unsubstantiated at this time.

Exit interview was conducted with Ms. Salley. Notice of Site Visit was issued and must be posted for 30 day. A copy of this report was provided to the facility.

A copy of this report must be made available to the public for 3 years.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2018
LIC9099 (FAS) - (06/04)
Page: 2 of 2